Provider Demographics
NPI:1093988032
Name:MESBAHI, ALI N (MD)
Entity Type:Individual
Prefix:DR
First Name:ALI
Middle Name:N
Last Name:MESBAHI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7601 LEWINSVILLE RD 400
Mailing Address - Street 2:
Mailing Address - City:MCLEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22102-2834
Mailing Address - Country:US
Mailing Address - Phone:703-287-8277
Mailing Address - Fax:
Practice Address - Street 1:7601 LEWINSVILLE RD 400
Practice Address - Street 2:
Practice Address - City:MCLEAN
Practice Address - State:VA
Practice Address - Zip Code:22102-2834
Practice Address - Country:US
Practice Address - Phone:703-287-8277
Practice Address - Fax:703-287-8278
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-10
Last Update Date:2015-12-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101239449208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery