Active NPI
Hassan Mohagheghi, M.D.
- Allergy Physician
- Colonial Heights, VA
National Provider Identifier
1053436451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- License
- 0101030950
- Practice address
- 3701 Boulevard
Suite H
Colonial Heights, VA 23834-1339 - Phone
- (804) 520-8932
- NPI assigned
- Mar 21, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | 0101030950 | VA | Primary |
Addresses
Primary practice location
3701 Boulevard
Suite H
Colonial Heights, VA 23834-1339
Mailing address
3701 Boulevard
Suite H
Colonial Heights, VA 23834-1339
Phone (804) 520-8932
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006062113 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264464000000",
"number": "1053436451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3701 BOULEVARD",
"address_2": "SUITE H",
"city": "COLONIAL HEIGHTS",
"state": "VA",
"postal_code": "238341339",
"telephone_number": "804-520-8932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 BOULEVARD",
"address_2": "SUITE H",
"city": "COLONIAL HEIGHTS",
"state": "VA",
"postal_code": "238341339",
"telephone_number": "804-520-8932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHAGHEGHI",
"first_name": "HASSAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-21",
"last_updated": "2010-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Allergy",
"state": "VA",
"license": "0101030950",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006062113",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Colonial Heights, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.