MITRA KHOSRAVI (NPI# 1689727950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689727950 |
| Entity Type | Individual |
| Full Name | MITRA KHOSRAVI |
| Practice Address |
7800 Sudley Rd Manassas VA 20109-2804 |
| Practice Telephone | 7033670599 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
40140312 | VA | Dental Providers |
| Street Address |
7800 SUDLEY RD |
| City | MANASSAS |
| State | VA |
| Zip Code | 20109-2804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871641381 | Ahmad Amin | Dentist | 7800 Sudley Rd, 7810, Manassas, VA 20109-2804 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275151854 | Laura Zabel | Social Worker | 10220 Launch Circle #103, Manassas, VA 20109 | 2020-07-09 |
| 1659910677 | Leigh Cristi Babin-adkins | Registered Nurse | 10550 Linden Lake Plazza, Manassas, VA 20109 | 2019-12-23 |
| 1326686221 | Sophie Louise Elliot | Speech-Language Pathologist | 10550 Linden Lake Plaza Suite 100, Manassas, VA 20109 | 2019-12-11 |
| 1962978221 | Dominique Marie Cytryn | Behavior Technician | Family Insight, P.C., 7730 Donegan Dr, Manassas, VA 20109 | 2018-10-15 |
| 1255829008 | Lyusyena Teper | Physical Therapist | 11662 Sudley Manor Dr Ste 50-b, Manassas, VA 20109 | 2018-04-27 |
| 1861995060 | Mylisa L Ickes | Counselor | 7982 Donegan Drive, Manassas, VA 20109 | 2018-03-14 |
| 1336641885 | Stephanie Joanne Gamboa | Behavior Technician | 1037 Battleview Pkwy, Manassas, VA 20109 | 2018-03-01 |
| 1154822237 | Katherine Sholl | Behavior Technician | 10370 Battleview Parkway, Manassas, VA 20109 | 2018-02-23 |
| 1386168615 | Northern Virginia Checker Cab LLC | Taxi | 7631 Coppermine Dr, Manassas, VA 20109 | 2017-07-28 |
| 1407383201 | Monique Lowery | Social Worker | 7403 Emerald Dr., Manassas, VA 20109 | 2017-05-11 |
| Find all providers in zip 20109 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750868097 | Elaine K. Sours, D.d.s., P.C. | Dentist | 8719 Plantation Lane, Manassas, VA 20110 | 2018-07-19 |
| 1609361849 | Rasha Jamal Hussein | Dentist | 12701 Galveston Ct, Manassas, VA 20112 | 2018-06-29 |
| 1265818363 | Good Choi's Dental Care, P.C. | Dentist | 10555 Crestwood Dr., Unit B, Manassas, VA 20109 | 2015-07-31 |
| 1801278726 | Happy Smile Dental, Inc | Dentist | 8428 Dorsey Cir Ste 201, Manassas, VA 20110-8302 | 2015-06-27 |
| 1497149132 | Sara Raja | Dentist | 6954 Jeremiah Ct, Manassas, VA 20111-4392 | 2015-03-19 |
| 1033508734 | Virginia Dental Partners Pllc | Dentist | 10482 Sudley Manor Drive, Manassas, VA 20109 | 2015-01-19 |
| 1992127989 | Dental Professionals of Virginia, P.c | Dentist | 11670 Sudley Manor Dr, Manassas, VA 20109-2842 | 2014-01-10 |
| 1427392729 | Eunice Song | Dentist | 9378 Forestwood Ln Ste A, Manassas, VA 20110-4742 | 2012-11-27 |
| 1154697720 | Vincy M Punnoose | Dentist | 10432 Balls Ford Rd, Suite 300, Manassas, VA 20109 | 2012-03-28 |
| 1295002814 | Neibauer Dental Care, PC | Dentist | 10051 Market Cir, Manassas, VA 20110-2120 | 2011-11-28 |
| Find all providers in MANASSAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.