Dr. Maysoun Hamid Mira, MD, MSA, L.Ac
Acupuncturist in Vienna, VA. Individual provider (NPI-1).
NPI number1558084459
StatusActive
Last updated in NPPESSep 26, 2022
Details
- NPI
- 1558084459
- Entity type
- Individual (NPI-1)
- Name
- Dr. Maysoun Hamid Mira
- Credential
- MD, MSA, L.Ac
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 26, 2022
- Certification date
- Sep 25, 2022
- Last updated
- Sep 26, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171100000X | Acupuncturist | 0121001007 | VA | Yes |
Practice location
2557 Chain Bridge RdVienna, VA 22181-5517
Phone 703-705-7555
Mailing address
2701 Chain Bridge RdVienna, VA 22181-5302
Phone 703-732-9915
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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