Provider Demographics
NPI:1962437079
Name:SABERINIA, MASSOUD (MD)
Entity type:Individual
Prefix:DR
First Name:MASSOUD
Middle Name:
Last Name:SABERINIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9743
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22102-0743
Mailing Address - Country:US
Mailing Address - Phone:703-526-0666
Mailing Address - Fax:703-526-0666
Practice Address - Street 1:1715 N GEORGE MASON DR
Practice Address - Street 2:#408
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22205
Practice Address - Country:US
Practice Address - Phone:703-526-0666
Practice Address - Fax:703-526-0361
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101049635207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
BS3684051OtherDEA
VA865296Medicare ID - Type Unspecified
BS3684051OtherDEA