Individual
KOVOSH DASTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
190 CAMPUS BLVD STE 410, WINCHESTER, VA 22601-2872
(540) 450-2339
(540) 450-2333
Mailing address
220 CAMPUS BLVD STE 320, WINCHESTER, VA 22601-2889
(540) 536-5100
(540) 536-0235
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0101275853
VA
Other
Enumeration date
04/02/2018
Last updated
04/17/2025
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