MEHDI MUSTAFA HASAN (NPI# 1760916993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760916993 |
| Entity Type | Individual |
| Full Name | MEHDI MUSTAFA HASAN |
| Practice Address |
4090 Lafayette Center Dr Ste F Chantilly VA 20151-1244 |
| Mailing Address |
4327 Ravensworth Rd Apt 812 Annandale VA 22003-5652 |
| Practice Telephone | 4107067116 |
| Mailing Telephone | (410) 905-2271 |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2017-07-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 16467 | MD | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
0401415660 | VA | Dental Providers |
| Street Address |
4090 LAFAYETTE CENTER DR STE F |
| City | CHANTILLY |
| State | VA |
| Zip Code | 20151-1244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023635695 | Sabah Home Care | Home Health | 4221 Walney Rd Suite 500 C, Chantilly, VA 20151 | 2020-06-30 |
| 1205485976 | Huang Wellness Center LLC | Acupuncturist | 14145 Robet Paris Ct, Chantilly, VA 20151 | 2019-09-05 |
| 1376032714 | Myeyedr Optometry of Virginia, Pllc | Optometrist | 14337 Newbrook Drive, Suite 400, Chantilly, VA 20151 | 2018-05-01 |
| 1013405950 | Chantilly Modern Dentistry, PC | Dentist | 14337 Newbrook Dr., Suite 200, Chantilly, VA 20151 | 2018-04-26 |
| 1972090389 | Wegmans Food Markets, Inc. | Pharmacy | 14361 Newbrook Dr., Chantilly, VA 20151 | 2018-04-20 |
| 1922526714 | Cynthia Anne Biggar | Specialist/Technologist | 13613 Bare Island Drive, Chantilly, VA 20151 | 2017-09-01 |
| 1497297717 | Rebekah Lee Hinders | Nurse Practitioner | 3914 Centrevill Rd, Suite 101, Chantilly, VA 20151 | 2016-11-17 |
| 1043761117 | Victoria Ranti Balogun | Nurse Practitioner | 14121 Parke Long Court, Suite 201, Chantilly, VA 20151 | 2016-10-24 |
| 1619424694 | Erin Booker | Nurse Practitioner | Parke Long Court, Suite 201, Chantilly, VA 20151 | 2016-09-07 |
| 1326419078 | Amparo Emilia Kidd | Nurse Practitioner | 14121 Parke Long Court, Suite 201, Chantilly, VA 20151 | 2015-10-07 |
| Find all providers in zip 20151 | ||||
| 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 |
|---|---|---|---|---|
| 1477160547 | Modaresi & Avin Dds Pllc | Dentist | 24805 Pinebrook Rd Ste 112, Chantilly, VA 20152-4127 | 2020-09-23 |
| 1689296485 | Fizza Gull | Dentist | 44151 Eastgate View Dr, Chantilly, VA 20152-1338 | 2020-05-14 |
| 1982225215 | Smile Daily LLC | Dentist | 4229 Lafayette Center Dr Ste 1125b-2, Chantilly, VA 20151-1261 | 2020-04-28 |
| 1801442991 | Ivan Lopez Sabarre | Dentist | 4080 Lafayette Center Dr Ste 160-b, Chantilly, VA 20151-1247 | 2019-08-14 |
| 1871056689 | Chantilly Dental Arts Center Pllc | Dentist | 13655 Lee Jackson Memorial Hwy, Chantilly, VA 20151-3568 | 2019-04-09 |
| 1700212511 | Grace Dental of Virginia, LLC | Dentist | 4530 Walney Rd, Suite 102, Chantilly, VA 20151-2284 | 2013-09-25 |
| 1417224056 | Neibauer Dental Care, PC | Dentist | 25401 Eastern Marketplace Plz Ste 165, Chantilly, VA 20152-5783 | 2011-11-28 |
| 1801193982 | Jennifer Pham | Dentist | 42550 Stires Dr, Chantilly, VA 20152-6655 | 2011-02-25 |
| 1235436908 | Trusmiles Dental, Plc | Dentist | 4501 Daly Dr Ste 105, Chantilly, VA 20151-3707 | 2011-02-16 |
| 1982835641 | Subha C Yerabollu | Dentist | 24805 Pinebrook Rd # 316, Chantilly, VA 20152-4126 | 2009-07-29 |
| Find all providers in CHANTILLY | ||||
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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.