Provider Demographics
NPI:1891047478
Name:TEHVAJAR, INC
Entity Type:Organization
Organization Name:TEHVAJAR, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KATAYOUN
Authorized Official - Middle Name:
Authorized Official - Last Name:KHOSRAVANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:202-494-0727
Mailing Address - Street 1:6910 RICHMOND HWY
Mailing Address - Street 2:STE 120
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22306-1849
Mailing Address - Country:US
Mailing Address - Phone:202-494-0727
Mailing Address - Fax:
Practice Address - Street 1:6910 RICHMOND HWY
Practice Address - Street 2:STE 120
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22306-1849
Practice Address - Country:US
Practice Address - Phone:202-494-0727
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-08
Last Update Date:2012-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012490552083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive MedicineGroup - Single Specialty