Organization
MEHDI BAJOGHLI, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEHDI BAJOGHLI M.D. (OWNER)
(703) 490-5803
Entity
Organization
Contact information
Practice address
2200 OPITZ BLVD, SUITE 230, WOODBRIDGE, VA 22191-3321
(703) 490-5803
Mailing address
2200 OPITZ BLVD, SUITE 230, WOODBRIDGE, VA 22191-3321
(703) 490-5803
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
101036370
VA
Other
Enumeration date
05/31/2007
Last updated
09/02/2008
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