Medi Health LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MEDI HEALTH LLC

Practice address

14904 Jefferson Davis Hwy Ste 202
Woodbridge, VA 22191-3908

Phone

(267) 671-8070

NPI assigned

May 3, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mehdi Mofidian, MDNPI 1891180998

Title

Owner

Phone

(267) 671-8070

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mehdi Mofidian, MD

  • Internal Medicine Physician
  • Cooperstown, NY
  • NPI 1891180998
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1588464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588464000000",
    "number": "1134740921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9220 ANNHURST ST",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220311902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14904 JEFFERSON DAVIS HWY STE 202",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913908",
            "telephone_number": "267-671-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-03",
        "last_updated": "2020-05-03",
        "certification_date": "2020-05-03",
        "status": "A",
        "authorized_official_last_name": "MOFIDIAN",
        "authorized_official_first_name": "MEHDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-671-8070",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delionel B Meadows Sr.
• Sylvia Debronger Mebane-Brooks, NP
• Ana Teresa Mebune
• Medco
• Medease
• Medical Clinic of Woodbridge Inc
• Medical Company
• Medical Company
• Medihub USA LLC
• Mednovations LLC

• Internal Medicine Physician in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.