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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. TAREQ MASSIMI, M.D.

Active Sole Proprietor

DR. TAREQ MASSIMI, M.D. is a Vascular Surgery healthcare provider located in MC LEAN, Virginia. NPI 1962660936 is currently active in the NPPES registry. Verify at CMS.

Vascular Surgery · MC LEAN, VA

Registration Details

NPI Number
1962660936
Provider Type
Individual
Gender
Male
NPI Issued
May 27, 2008 (18.255636835466 yrs)
Last Updated
Aug 17, 2021
Licenses
233575 (MA)
102688 (DC)
247016 (MA)
Sole Proprietor
Yes

Practice Information

Address
7723 SPOLETO LN
MC LEAN, VA, 221024787
Browse VA providers · Browse ZIP 22102
Phone
4138856942
Primary Specialty
Vascular Surgery
2086S0129X
Additional Specialty
Vascular Surgery
Additional Specialty
Vascular Surgery
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.