| Ramin Mazhari LLC | |
|
8100 Boone Blvd Ste 300 Vienna VA 22182-2642 | |
| (703) 716-2866 | |
| (703) 716-2868 |
| Full Name | Ramin Mazhari LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 8100 Boone Blvd Ste 300, Vienna, Virginia |
| Authorized Official Name and Position | Whitney Thomas (PRACTICE MANAGER) |
| Authorized Official Contact | 7037162866 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ramin Mazhari LLC 8100 Boone Blvd Ste 300 Vienna VA 22182-2642 Ph: (703) 716-2866 | Ramin Mazhari LLC 8100 Boone Blvd Ste 300 Vienna VA 22182-2642 Ph: (703) 716-2866 |
| NPI Number | 1528878006 |
|---|---|
| Provider Enumeration Date | 01/08/2025 |
| Last Update Date | 01/08/2025 |
| Certification Date | 01/08/2025 |
| Medicare PECOS PAC ID | 8123509668 |
|---|---|
| Medicare Enrollment ID | O20260224000559 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528878006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Ramin Mazhari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811041106 PECOS PAC ID: 9032111240 Enrollment ID: I20140505000071 |
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