| Ramin Razavi, Dmd Inc. | |
|
6829 Elm St Suite 320 Mc Lean VA 22101-3884 | |
| (703) 288-0100 | |
| (703) 288-0557 |
| Full Name | Ramin Razavi, Dmd Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 6829 Elm St, Mc Lean, Virginia |
| Authorized Official Name and Position | Ramin Razavi (PRESIDENT) |
| Authorized Official Contact | 7032880100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ramin Razavi, Dmd Inc. 6829 Elm St Suite 320 Mc Lean VA 22101-3884 Ph: (703) 288-0100 | Ramin Razavi, Dmd Inc. 6829 Elm St Suite 320 Mc Lean VA 22101-3884 Ph: (703) 288-0100 |
| NPI Number | 1063646669 |
|---|---|
| Provider Enumeration Date | 05/11/2009 |
| Last Update Date | 05/11/2009 |
| Medicare PECOS PAC ID | 6507916251 |
|---|---|
| Medicare Enrollment ID | O20090619000279 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063646669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 0401008270 (Virginia) | Primary |
| Provider Name | Ramin Razavi |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1992921761 PECOS PAC ID: 4082763628 Enrollment ID: I20090601000281 |
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