MAHNOOR MOIN (NPI# 1639686009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639686009 |
| Entity Type | Individual |
| Full Name | MAHNOOR MOIN |
| Practice Address |
14010 Smoketown Rd Woodbridge VA 22192-4722 |
| Mailing Address |
2975 Hunters Branch Rd 343 Fairfax VA 22031 |
| Practice Telephone | 7035800181 |
| Mailing Telephone | 4129738735 |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2018-01-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
14010 SMOKETOWN RD |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22192-4722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922094580 | Kenneth Neil Josovitz | Internal Medicine | 14010 Smoketown Rd, Suite 117, Woodbridge, VA 22192-4704 | 2005-09-20 |
| 1922548130 | Nitiksha Patel | Physician Assistant | 14010 Smoketown Rd, Suite 117, Woodbridge, VA 22192-4722 | 2017-03-07 |
| 1548657117 | Tina Polley | Nurse Practitioner | 14010 Smoketown Rd, Suite 117, Woodbridge, VA 22192-4722 | 2015-04-22 |
| 1629462171 | Advanced Digestive Care, LLC | Internal Medicine | 14010 Smoketown Rd, Suite 117, Woodbridge, VA 22192 | 2015-03-23 |
| 1982097770 | Associates In Gastroenterology, PC | Nurse Practitioner | 14010 Smoketown Rd, Suite 117, Woodbridge, VA 22192-4722 | 2015-03-18 |
| 1679881486 | Carlyle Fairfax Hooff Casella | Physician Assistant | 14010 Smoketown Rd, Suite 117, Woodbridge, VA 22192-4722 | 2010-09-15 |
| 1609019520 | Ali Farhad Kazemi | Internal Medicine | 14010 Smoketown Rd, Suite 117, Woodbridge, VA 22192-4722 | 2009-04-07 |
| 1346403920 | Anisha Thadani | Internal Medicine | 14010 Smoketown Rd, Suite 117, Woodbridge, VA 22192-4722 | 2008-07-03 |
| 1326205113 | Benjamin Edward Young II | Internal Medicine | 14010 Smoketown Rd, Suite 117, Woodbridge, VA 22192-4704 | 2008-05-20 |
| 1457546236 | Arunan Vamadevan | Internal Medicine | 14010 Smoketown Rd, Suite 117, Woodbridge, VA 22192-4722 | 2007-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245873645 | Ursula Jackson | Technician | 3500 Commission Ct, Woodbridge, VA 22192 | 2019-10-18 |
| 1205480779 | Ki Soo Park | Physical Therapy Assistant | 12825 Minnieville Road Suite 201, Lake Ridge, VA 22192 | 2019-08-01 |
| 1801448329 | Karen Lee Trivett | Specialist/Technologist, Other | 12584 Darby Brook Court, Woodbridge, VA 22192 | 2019-07-15 |
| 1407313166 | Nichele Amelia Thompson | Behavioral Analyst | 2731 Marblestone Dr, 101, Woodbridge, VA 22192 | 2019-02-28 |
| 1952877870 | Kimberly Ann Rojas Vazquez | Behavioral Analyst | 12531 Clipper Dr, Suite 203, Woodbridge, VA 22192 | 2018-10-18 |
| 1104391614 | Ykim Dental | Dentist | 2680 Optiz Blvd., Suite 120, Woodbridge, VA 22192 | 2018-10-11 |
| 1013418755 | Arm Transport | Non-emergency Medical Transport (VAN) | 13000 Harbor Center Dr Ste 132d, Woodbridge, VA 22192 | 2018-02-27 |
| 1811496813 | Francesca Nasi | Behavioral Analyst | 12531 Clipper Dr Ste 203, Woodbridge, VA 22192 | 2018-02-05 |
| 1942729504 | Bismark Transportation Service LLC | Non-emergency Medical Transport (VAN) | 12341 Woodlawn Court, Woodbridge, VA 22192 | 2017-09-14 |
| 1992226344 | Arm Baby Eldery Home Health LLC | Home Health | 13000 Harbor Center Dr # 312c, Woodbridge, VA 22192 | 2017-07-06 |
| Find all providers in zip 22192 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295356145 | Nilofar Ariasaif | Physician Assistant | 15401 Bald Eagle Ln, Woodbridge, VA 22191-3782 | 2020-05-01 |
| 1952318826 | Angela Kay Minor | Physician Assistant | 12731 Marblestone Dr Ste 200, Woodbridge, VA 22192-8334 | 2006-08-02 |
| 1558962712 | Madison Belou | Physician Assistant | 2296 Opitz Blvd Ste 350, Woodbridge, VA 22191-3346 | 2020-11-04 |
| 1558860668 | Hirza Raza | Physician Assistant | 14010 Smoketown Rd Ste 117, Woodbridge, VA 22192-4722 | 2018-02-04 |
| 1235650268 | Miri Rhee Kim | Physician Assistant | 2300 Opitz Blvd, Woodbridge, VA 22191-3311 | 2017-06-29 |
| 1922548130 | Nitiksha Patel | Physician Assistant | 14010 Smoketown Rd, Suite 117, Woodbridge, VA 22192-4722 | 2017-03-07 |
| 1437508215 | Dana Wilkinson | Physician Assistant | 2300 Opitz Blvd, Woodbridge, VA 22191-3311 | 2016-06-13 |
| 1689037715 | Michelle Karimzada | Physician Assistant | 14605 Potomac Branch Dr Ste 100, Woodbridge, VA 22191 | 2016-04-05 |
| 1316355878 | Sophia Osmanzada | Physician Assistant | 4158 Dale Blvd, Woodbridge, VA 22193-2225 | 2014-07-29 |
| 1972864940 | Anh Ngoc Pham | Physician Assistant | 4379 Ridgewood Center Dr, Suite 102, Woodbridge, VA 22192-8322 | 2012-06-06 |
| Find all providers in WOODBRIDGE | ||||
| City | WOODBRIDGE |
| Zip Code | 22192 |
Please comment or provide details below to improve the information on MAHNOOR MOIN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.