Mohammad A. Amiri Sr.
Homemaker in Bristow, VA. Individual provider (NPI-1).
NPI number1982575148
StatusActive
Last updated in NPPESSep 12, 2025
Details
- NPI
- 1982575148
- Entity type
- Individual (NPI-1)
- Name
- Mohammad A. Amiri Sr.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 12, 2025
- Certification date
- Sep 12, 2025
- Last updated
- Sep 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376J00000X | Homemaker | 62743137 | VA | Yes |
Practice location
9527 Moonen Bay LnBristow, VA 20136-3515
Phone 609-621-5926
Mailing address
9527 Moonen Bay LnBristow, VA 20136-3515
Phone 609-621-5926
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