| Jasmine Moghissi, M.d., P.c. | |
|
9401 Lee Hwy Suite 302 Fairfax VA 22031-1849 | |
| (703) 281-5560 | |
| (703) 281-5568 |
| Full Name | Jasmine Moghissi, M.d., P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 9401 Lee Hwy, Fairfax, Virginia |
| Authorized Official Name and Position | Jasmine Moghissi (PRESIDENT) |
| Authorized Official Contact | 7032815560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jasmine Moghissi, M.d., P.c. 9401 Lee Hwy Suite 302 Fairfax VA 22031-1849 Ph: (703) 281-5560 | Jasmine Moghissi, M.d., P.c. 9401 Lee Hwy Suite 302 Fairfax VA 22031-1849 Ph: (703) 281-5560 |
| NPI Number | 1467644310 |
|---|---|
| Provider Enumeration Date | 08/15/2007 |
| Last Update Date | 08/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467644310 | NPI | - | NPPES |
| DF2854 / P00353016 | Other | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101044043 (Virginia) | Primary |
Neighborhood Health At Merrifield Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8221 Willow Oaks Corporate Dr, Fairfax, VA 22031 Phone: 703-535-5568 Fax: 703-299-1794 | |
Fair Oaks Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10721 Main St, #1500, Fairfax, VA 22030 Phone: 703-218-2970 Fax: 703-218-2965 | |
Health Connect Aco, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12011 Lee Jackson Hwy, Suite 504, Fairfax, VA 22033 Phone: 703-391-2042 | |
Revive Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3998 Fair Ridge Dr Ste 270, Fairfax, VA 22033 Phone: 571-544-8110 | |
Paramount Care Physicians Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12011 Lee Jackson Memorial Hwy, Suite 230, Fairfax, VA 22033 Phone: 703-222-0002 Fax: 703-449-9890 | |
Boundless Nutrition Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13112 Moss Ranch Ln, Fairfax, VA 22033 Phone: 703-705-2720 | |
Shanmugam Mukundan, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3930 Walnut St, Suite 101, Fairfax, VA 22030 Phone: 703-349-1191 |