Provider Demographics
NPI:1396358511
Name:CHERAGHI, NAVEED SEYED MOHAMMAD (DDS)
Entity Type:Individual
Prefix:DR
First Name:NAVEED
Middle Name:SEYED MOHAMMAD
Last Name:CHERAGHI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:818 N QUINCY ST APT 1803
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22203-2085
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2 CARDINAL PARK DR SE STE 204A
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20175-4449
Practice Address - Country:US
Practice Address - Phone:703-779-2296
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-27
Last Update Date:2021-07-28
Deactivation Date:2021-07-08
Deactivation Code:
Reactivation Date:2021-07-22
Provider Licenses
StateLicense IDTaxonomies
VA04014173921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice