Mehrdad Bahramian, PT | |
24560 Southpoint Dr Ste 250, Aldie, VA 20105-3504 | |
(571) 370-3686 | |
(571) 370-3687 |
Full Name | Mehrdad Bahramian |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 24560 Southpoint Dr Ste 250, Aldie, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184313074 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | CP029380T (Virginia) | Primary |
225100000X | Physical Therapist | 29413 (Maryland) | Secondary |
Provider Name | Privia Medical Group Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20050422000298 |
Provider Name | Total Health Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1255656575 PECOS PAC ID: 3971634890 Enrollment ID: O20100621000852 |
Mailing Address | Practice Location Address |
---|---|
Mehrdad Bahramian, PT 5095 Savannah Run, Cumming, GA 30040-0281 Ph: (470) 628-3419 | Mehrdad Bahramian, PT 24560 Southpoint Dr Ste 250, Aldie, VA 20105-3504 Ph: (571) 370-3686 |
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