Provider Demographics
NPI:1770796187
Name:FALSAFI, MOHAMMAD ALI
Entity type:Individual
Prefix:DR
First Name:MOHAMMAD
Middle Name:ALI
Last Name:FALSAFI
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:MOHAMMAD
Other - Middle Name:ALI
Other - Last Name:FALSAFI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:900 S WASHINGTON ST
Mailing Address - Street 2:109
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22046-4020
Mailing Address - Country:US
Mailing Address - Phone:703-538-5252
Mailing Address - Fax:703-538-5250
Practice Address - Street 1:900 S WASHINGTON ST
Practice Address - Street 2:109
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22046-4020
Practice Address - Country:US
Practice Address - Phone:703-538-5252
Practice Address - Fax:703-538-5250
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556382111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation