Provider Demographics
NPI:1316071202
Name:ARTHIRITIS AND OSTEOPOROSIS NORTHERN VIRGINIA INC
Entity type:Organization
Organization Name:ARTHIRITIS AND OSTEOPOROSIS NORTHERN VIRGINIA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHSEN
Authorized Official - Middle Name:
Authorized Official - Last Name:GHAFOURI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-361-3255
Mailing Address - Street 1:8100 ASHTON AVE
Mailing Address - Street 2:SUITE 215
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20109-5622
Mailing Address - Country:US
Mailing Address - Phone:703-361-3255
Mailing Address - Fax:703-361-6990
Practice Address - Street 1:8100 ASHTON AVE
Practice Address - Street 2:SUITE 215
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20109-5622
Practice Address - Country:US
Practice Address - Phone:703-361-3255
Practice Address - Fax:703-361-6990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2015-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101233757174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC09705Medicare ID - Type Unspecified
VAH84324Medicare UPIN
VA6766710001Medicare NSC