Provider Demographics
NPI:1821495656
Name:ARTHRITIS AND RHEUMATOLOGY CLINICAL CENTER OF NORTHERN VIRGINIA, PLLC
Entity Type:Organization
Organization Name:ARTHRITIS AND RHEUMATOLOGY CLINICAL CENTER OF NORTHERN VIRGINIA, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MAHSA
Authorized Official - Middle Name:
Authorized Official - Last Name:TEHRANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:202-492-1044
Mailing Address - Street 1:8130 BOONE BLVD STE 340
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-2640
Mailing Address - Country:US
Mailing Address - Phone:571-418-2022
Mailing Address - Fax:
Practice Address - Street 1:8130 BOONE BLVD STE 340
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22182-2640
Practice Address - Country:US
Practice Address - Phone:703-734-2222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-21
Last Update Date:2015-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty