Provider Demographics
NPI:1659171759
Name:AMIRI, MOHAMMAD SHARIF
Entity type:Individual
Prefix:MR
First Name:MOHAMMAD SHARIF
Middle Name:
Last Name:AMIRI
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3194 BARBEQUE PL
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22193-8529
Mailing Address - Country:US
Mailing Address - Phone:240-802-9266
Mailing Address - Fax:
Practice Address - Street 1:3194 BARBEQUE PL
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22193-8529
Practice Address - Country:US
Practice Address - Phone:240-802-9266
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter