Panteha Nazari, PT, DPT, BCB-PMD

NPI 1407364268 · on the registry since 2018 · sole proprietor

Practice

Address: 2700 Prosperity Ave Ste 260
Fairfax, VA 22031
Phone: (703) 291-3082
Fax: (703) 291-3083
Organisation at this address: Inova Home Care
Inova Diabetes Center
Benjamin I. Enav, Md, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 15

Registry record

Primary taxonomy: 225100000X
225100000X
Also registered as: 261QP2000X
Licence states on file: VA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2021-07-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia