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Dr. Khosro Shareghi, MD,FACC
Specialist in Woodbridge, Virginia
NPI 1093703076

Khosro Shareghi is a Specialist based in Woodbridge, VA. Khosro Shareghi practices in Woodbridge, VA and has the professional credentials of MD,FACC. The NPI Number for Khosro Shareghi is 1093703076 and holds a License No. 0101042990 (Virginia).

The current practice location address for Khosro Shareghi is 2200 Opitz Blvd, Woodbridge, VA and can be reached out via phone at 703-494-5995 and via fax at 703-491-9153.

Location: 2200 Opitz Blvd, Woodbridge, VA, 22191-3321
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093703076
Provider Name
Khosro Shareghi
Credential
MD,FACC
Provider Entity Type
Individual
Gender
Male
Address
2200 Opitz Blvd, Woodbridge, VA, 22191-3321
Phone Number
703-494-5995
Fax Number
703-491-9153
Provider Enumeration Date
10/12/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
028690 01 VA ANTHEM VIRGINIA
028689 01 HEALTHKEEPERS
541739580 01 TRICARE
60-2983-3 01 FIRST HEALTH
1475-0001 01 CAREFIRST
006029833 05 VA
4252028 01 AETNA
institution
Provider Business Practice Location Address Details
Address
2200 Opitz Blvd
City
Woodbridge
State
Virginia
Zip
22191-3321
Phone Number
703-494-5995
Fax Number
703-491-9153
person
Provider Business Mailing Address Details
Address
2200 Opitz Blvd
City
Woodbridge
State
Virginia
Zip
22191-3321
Phone Number
703-494-5995
Fax Number
703-491-9153
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
0101042990 (Virginia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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