G. Reza Mehryar, M.D., Neurology, P.C.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

22328 Issued in VA

Legal business name

G. REZA MEHRYAR, M.D., NEUROLOGY, P.C.

Practice address

3650 Joseph Siewick Dr
#310
Fairfax, VA 22033-1710

Phone

(703) 620-2929

Fax

(703) 620-1711

NPI assigned

Aug 11, 2006

Last updated

Aug 22, 2020By 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

Gholam Reza Mehryar, M.D.

Title

Owner

Phone

(703) 620-2929

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932110269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 JOSEPH SIEWICK DR",
            "address_2": "#310",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331710",
            "telephone_number": "703-620-2929",
            "fax_number": "703-620-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 JOSEPH SIEWICK DR",
            "address_2": "#310",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331710",
            "telephone_number": "703-620-2929",
            "fax_number": "703-620-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G. REZA MEHRYAR, M.D., NEUROLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEHRYAR",
        "authorized_official_first_name": "GHOLAM",
        "authorized_official_middle_name": "REZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-620-2929",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "22328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "100305",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffery Fulton, PSYCHOLOGIST
• Renee Elizabeth Funches, M.D.
• Michelle Kelly Funk, WHNP-BC
• Brittany Furman
• FXR Foot & Ankle
• Amy Gabel, PHD
• Joan Alexandra Gaber, CFNP
• Salwa W Gaber
• Annika Gadson
• Dale R. Gadue, RN

• Neurology Physician in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Neurology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.