1386677375 NPI number — DR. MOHAMMED H NAJI M.D.

Table of content: DR. MOHAMMED H NAJI M.D. (NPI 1386677375)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1386677375 NPI number — DR. MOHAMMED H NAJI M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
NAJI
Provider First Name:
MOHAMMED
Provider Middle Name:
H
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1386677375
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/09/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1377 DREAMWEAVER CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
VIENNA
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
22182-1674
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
240-498-9137
Provider Business Mailing Address Fax Number:
703-757-7497

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1377 DREAMWEAVER CT
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
VIENNA
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22182-1674
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
240-498-9137
Provider Business Practice Location Address Fax Number:
703-757-7497
Provider Enumeration Date:
07/10/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207LP2900X , with the licence number:  0101230385 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: K142-0001 . This is a "CAREFIRST" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: P00216112 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 484645 . This is a "NCPPO" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 010216605 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 137679 . This is a "TRIGON" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 010107415 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 010216583 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".




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