Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MAHTAB MOLLAJAFAR
Active Sole ProprietorMAHTAB MOLLAJAFAR is a Physician Assistant healthcare provider located in FAIRFAX STATION, Virginia. NPI 1659836799 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · FAIRFAX STATION, VA
Registration Details
- NPI Number
- 1659836799
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 3, 2019 (7.3435178164964 yrs)
- Last Updated
- Oct 14, 2021
- License
-
0110007682 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8212 ROSELAND DRFAIRFAX STATION, VA, 220392534Browse VA providers · Browse ZIP 22039
- Phone
- 7035079266
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in FAIRFAX STATION, VA
| Name | Credential | NPI |
|---|---|---|
| KAITLIN RENAE CARLISLE | — | 1588336697 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.