Jasmine Moghissi, M.d., P.c.

NPI #1467644310 in Fairfax, Virginia

Provider Information

NPI Number: 1467644310
Entity Type: Organization
Organization Name: Jasmine Moghissi, M.d., P.c.
Primary Specialty: Family Medicine
Enumeration Date: Aug 15, 2007
Last Updated: Aug 3, 2009

Practice Location

Address: 9401 LEE HWY
Address 2: SUITE 302
City: Fairfax
State: Virginia
ZIP Code: 22031-1849
Phone: (703) 281-5560

Authorized Official

Name: DR. JASMINE MOGHISSI, MD
Title: PRESIDENT
Phone: (703) 281-5560

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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