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Ahmad O Noori MD PC

Specialist in Reston, VA. Organization (NPI-2).

NPI number1407124506
StatusActive
Last updated in NPPESDec 5, 2011

Details

NPI
1407124506
Entity type
Organization (NPI-2)
Legal business name
Ahmad O Noori MD PC
Organization subpart
No
Enumeration date
Dec 5, 2011
Last updated
Dec 5, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X Specialist0101050528VAYes

Practice location

1860 Town Center Dr
Suite 280
Reston, VA 20190-5896

Phone 703-742-8500 · Fax 703-742-9385

Mailing address

1860 Town Center Dr
Suite 280
Reston, VA 20190-5896

Phone 703-742-8500 · Fax 703-742-9385

Authorized official

Keisha Walls
Billing/Office Manager
7037420061

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