Search › Virginia › 103K00000X
Roushan Bagheri
NPI 1740134105 · on the registry since 2026
Practice
- Address
- 11977 Glen Alden Rd
Fairfax, VA 22030 - Phone
- (571) 234-2998
- Organisation at this address
- Blue Aba Center Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-02-24
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