DR. MITRA DASTGHEYB


Address: 821 S King St Ste A, Leesburg, VA 20175-3914
Phone: 7037773917

DR. MITRA DASTGHEYB (NPI# 1831287739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831287739
Entity Type Individual
Full Name DR. MITRA DASTGHEYB
Credential M.D.
Practice Address 821 S King St Ste A
Leesburg
VA 20175-3914
Practice Telephone 7037773917
Practice Fax Number 7034430100
Mailing Telephone 7037773917
Mailing Fax Number 7034430100
Enumeration Date 2006-10-10
Last Update Date 2008-06-10
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
0101053042 VA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
VA 6030831 05

Office Location

Street Address 821 S KING ST STE A
City LEESBURG
State VA
Zip Code 20175-3914

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NPI Name Taxonomy Address Enumeration
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1508316282 Stefanie Moreno Social Worker 914 Rhonda Pl Se, Leesburg, VA 20175 2016-10-06
1164819280 Hayley Robertson Behavioral Analyst 801 Childrens Center Road Sw, Leesburg, VA 20175 2015-04-16
1932597317 Christine Sauthoff Carter Speech-Language Pathologist 212 Wingate Pl Sw, Leesburg, VA 20175 2015-01-07
1174946651 Sucess By Therapeutic and Educational Play Services Speech-Language Pathologist 107 Pheasant Pl Sw, Leesburg, VA 20175 2014-02-04
1790115350 Ahmed Salem Behavioral Analyst 801 Childrens Center Road Sw, Leesburg, VA 20175 2013-11-19
1386077337 Kathleen Mary Harter Physical Therapy Assistant 224-d Cornwall Street, Suite 200, Leesburg, VA 20175 2013-08-14
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Taxonomy Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

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NPI Name Taxonomy Address Enumeration
1215968821 N Chandramohan Md Pa Internal Medicine 32845 Radio Road, Ste 102, Leesburg, FL 34788 2006-07-05
1205437274 Medhealth360 Internal Medicine 19500 Sandridge Way Ste 170, Leesburg, VA 20176-3692 2020-11-05
1164967154 Hamilton R Fish Md Internal Medicine 32735 Radio Rd, Leesburg, FL 34788-3900 2016-12-29

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1194360503 Bon Secours-st. Mary's Hospital of Richmond, Inc. Internal Medicine 5899 Bremo Rd Ste 202, Richmond, VA 23226-1935 2019-11-08
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1457891145 Ultra Health LLC Internal Medicine 13401 Gov G C Peery Hwy, Pounding Mill, VA 24637-4010 2017-03-01
1720407851 Cesar M. Plazas-guzman Internal Medicine 713 Volvo Pkwy Ste 100, Chesapeake, VA 23320-1614 2014-04-16
1639426497 Miriam Hinaa Ahmad Internal Medicine 103 W Broad St Ste 120, Falls Church, VA 22046-4231 2012-08-11
1023372620 Paul Sumner Strumph Internal Medicine 2350 Merriman Way Rd, Moneta, VA 24121-3186 2012-06-27
1811256381 Silpa P.k. Joshi Internal Medicine 3201 Jermantown Rd Ste 250, Fairfax, VA 22030-2881 2012-05-03
1518244854 Bon Secours St. Francis Medical Center Inc Internal Medicine 3660 Boulevard Ste G, Colonial Heights, VA 23834-1345 2011-11-15
1235427592 Neeharika Repaka Internal Medicine 1830 Town Center Dr Ste 306, Reston, VA 20190-3217 2011-07-20
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Competitor

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City LEESBURG
Zip Code 20175

Improve Information

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Dataset Information

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.

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