M & M Pathology PLLC

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

M & M PATHOLOGY PLLC

Practice address

2280 Opitz Blvd Ste 200
Woodbridge, VA 22191-3330

Phone

(703) 580-7433

Fax

(703) 580-7437

NPI assigned

Jul 18, 2018

Last updated

Jul 18, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kian Makipour, MDNPI 1811148430

Title

Medical Director

Phone

(703) 580-7433

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, and the practitioner matching its NPPES authorized official.

• Kian Makipour, MD

  • Gastroenterology Physician
  • Woodbridge, VA
  • NPI 1811148430
  Authorized official Same address or phone

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531872000000",
    "number": "1619453966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2280 OPITZ BLVD STE 200",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913330",
            "telephone_number": "703-580-7433",
            "fax_number": "703-580-7437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2280 OPITZ BLVD STE 200",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913330",
            "telephone_number": "703-580-7433",
            "fax_number": "703-580-7437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M & M PATHOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-18",
        "last_updated": "2018-07-18",
        "status": "A",
        "authorized_official_last_name": "MAKIPOUR",
        "authorized_official_first_name": "KIAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "703-580-7433",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anatomic Pathology & Clinical Pathology Physician in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Anatomic Pathology & Clinical Pathology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; 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.