| NPI | 1144474669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAVOOS N MESBAHI President 703-257-4741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2017-12-11 |