G. REZA MEHRYAR, M.D., NEUROLOGY, P.C. (NPI# 1932110269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932110269 |
| Entity Type | Organization |
| Organization Name | G. REZA MEHRYAR, M.D., NEUROLOGY, P.C. |
| Practice Address |
3650 Joseph Siewick Dr #310 Fairfax VA 22033-1710 |
| Practice Telephone | 7036202929 |
| Practice Fax Number | 7036201711 |
| Mailing Telephone | 7036202929 |
| Mailing Fax Number | 7036201711 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | GHOLAM REZA MEHRYAR (OWNER) |
| Authorized Official Telephone | 7036202929 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
22328 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | BLUE CROSS BLUE SHIELD | 100305 | 01 |
| Street Address |
3650 JOSEPH SIEWICK DR #310 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22033-1710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871596692 | Noemi S. Dosova | Pediatrics | 3650 Joseph Siewick Dr, Ste 101, Fairfax, VA 22033-1700 | 2005-05-24 |
| 1215546395 | Ryan Lawson | Nurse Practitioner | 3650 Joseph Siewick Dr, Fairfax, VA 22033-1710 | 2020-07-24 |
| 1043842503 | Shereen A Robinson | Nurse Practitioner | 3650 Joseph Siewick Dr, Fairfax, VA 22033-1710 | 2020-02-12 |
| 1700373982 | Brenda D Carpenter | Pharmacist | 3650 Joseph Siewick Dr, Fairfax, VA 22033-1710 | 2018-04-13 |
| 1487194262 | Molly Boyer Broache | Nurse Practitioner | 3650 Joseph Siewick Dr, Suite 203, Fairfax, VA 22033-1710 | 2017-02-28 |
| 1649714155 | About Care Gyn Associates, Pllc | Clinic/Center | 3650 Joseph Siewick Dr, Suite 309, Fairfax, VA 22033-1710 | 2016-12-19 |
| 1407209307 | Tara Lynne Kiser | Nurse Practitioner | 3650 Joseph Siewick Dr, 400, Fairfax, VA 22033-1710 | 2016-07-15 |
| 1003266552 | Thuy Phuong Thi Vo | Family Medicine | 3650 Joseph Siewick Dr, 400, Fairfax, VA 22033-1710 | 2016-06-15 |
| 1760897342 | Melissa Suzanne Rogina | Advanced Practice Midwife | 3650 Joseph Siewick Dr, Suite 203, Fairfax, VA 22033 | 2014-06-23 |
| 1104230929 | Clare Gosek | Family Medicine | 3650 Joseph Siewick Dr, Suite 400, Fairfax, VA 22033-1710 | 2014-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074320 | Han S Yoo | Pharmacist | 12200 West Ox Road, Fairfax, VA 22033 | 2020-02-07 |
| 1386137271 | Ammar Orthodontics Pllc | Dentist | 11702 Fiar Oaks Mall, Upper Floor, Fairfax, VA 22033 | 2018-06-14 |
| 1013360940 | Kellyn Patricia Dodd | Nurse Practitioner | 3903 Fair Ridge Dr Ste 209, Fairfax, VA 22033 | 2016-07-15 |
| 1659721363 | John Du Od PC | Optometrist | 12618 Victoria Station Ct, Fairfax, VA 22033 | 2016-06-14 |
| 1568861904 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 12734 Shoppes Lane, Fairfax, VA 22033 | 2014-08-21 |
| 1649696295 | Patrisha Lultschik | Nurse Practitioner | 12375 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2014-03-06 |
| 1912321910 | Alyson Huber | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Dr., Fairfax, VA 22033 | 2014-02-11 |
| 1578999314 | Aiatulah Surmaty | Optometrist | 11801 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2013-09-25 |
| 1356780928 | Ayatallah M. Khafagy | Obstetrics & Gynecology | 3650 Joseph Siewick Dr Suite 203, Fairfax, VA 22033 | 2013-06-17 |
| 1760726665 | Michelle Elise Schwartz | Speech-Language Pathologist | 3507 Curtice Farm Dr, Fairfax, VA 22033 | 2012-11-15 |
| Find all providers in zip 22033 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669976221 | Fairfax Family Life Behavioral Health, LLC | Psychiatry & Neurology | Fairfaxpark Office Plaza, 9512 B Lee Highway, Fairfax, VA 22031 | 2018-03-20 |
| 1821599234 | John H. Seok, M.d., P.C. | Psychiatry & Neurology | 3919 Old Lee Hwy Ste 81a, Fairfax, VA 22030-2430 | 2018-02-22 |
| 1124414164 | Richard Monti Jr. | Psychiatry & Neurology | 3020 Hamaker Ct Ste 400, Fairfax, VA 22031-2231 | 2015-04-07 |
| 1609293562 | Hannah Walters | Psychiatry & Neurology | 3580 Joseph Siewick Dr Ste 206, Fairfax, VA 22033-1764 | 2014-03-27 |
| 1447446059 | Roger A Snyder Md | Psychiatry & Neurology | 8303 Arlington Blvd Ste 202, Fairfax, VA 22031 | 2007-09-18 |
| 1104300300 | Nova Neurosciences LLC | Psychiatry & Neurology | 3022 Williams Dr Ste 100, Fairfax, VA 22031-4600 | 2018-09-24 |
| 1851725345 | Neurology and Sleep Care of Northern Virginia,p.c. | Psychiatry & Neurology | 8316 Arlington Blvd Ste 650, Fairfax, VA 22031-5216 | 2013-09-03 |
| 1881868123 | Hilary Newgen | Psychiatry & Neurology | 12011 Lee-jackson Memorial Highway, Penderbrook Medical Center, Fairfax, VA 22033-3310 | 2008-04-17 |
| 1538352430 | Randolph R Stephenson | Psychiatry & Neurology | 3020 Hamaker Ct, Suite 400, Fairfax, VA 22031-2238 | 2007-08-23 |
| 1235335993 | Matthew Robert Churchill | Psychiatry & Neurology | 3020 Hamaker Ct, Suite 400, Fairfax, VA 22031-2238 | 2007-06-21 |
| Find all providers in FAIRFAX | ||||
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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.