Individual
MASOUD REZVANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14904 JEFFERSON DAVIS HWY STE 209, WOODBRIDGE, VA 22191-3908
(703) 595-4566
(703) 350-4891
Mailing address
1077 PENSIVE LN, GREAT FALLS, VA 22066-1712
(267) 317-6364
(888) 588-0634
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD433181
PA
Other
Enumeration date
06/06/2008
Last updated
07/21/2022
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