Provider Demographics
NPI:1447223888
Name:BARAZI, MOHAMMED KAIRY (MD)
Entity Type:Individual
Prefix:DR
First Name:MOHAMMED
Middle Name:KAIRY
Last Name:BARAZI
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 1:7501 GREENWAY CENTER DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-3514
Mailing Address - Country:US
Mailing Address - Phone:301-474-4679
Mailing Address - Fax:301-474-7182
Practice Address - Street 1:21351 RIDGETOP CIR
Practice Address - Street 2:SUITE 140
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20166-6561
Practice Address - Country:US
Practice Address - Phone:703-421-0931
Practice Address - Fax:703-421-7206
Is Sole Proprietor?:No
Enumeration Date:2006-02-08
Last Update Date:2017-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101221305207W00000X, 207WX0107X
DCMD032018207WX0107X
MDD0059106207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA376160601Medicaid
VA006309747Medicaid
MD376160600Medicaid
VA010166551Medicaid
H80723Medicare UPIN
VA010166551Medicaid
MD376160600Medicaid