Individual
SAMAR ALI MIRZAEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1595 SPRING HILL RD STE 520, VIENNA, VA 22182-4101
(703) 687-6610
Mailing address
1595 SPRING HILL RD STE 520, VIENNA, VA 22182-4101
(703) 687-6610
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101274277
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/10/2017
Last updated
10/03/2022
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