Individual
SAMIRA HANNAH REZAIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
8081 INNOVATION PARK DR STE 200, FAIRFAX, VA 22031-4867
(571) 472-7000
(571) 472-7001
Mailing address
8081 INNOVATION PARK DR STE 500, FAIRFAX, VA 22031-4867
(571) 472-7000
(571) 472-7001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS17616
FL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
0102207204
VA
Other
Enumeration date
03/03/2017
Last updated
11/25/2022
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