Siavash Sobhani M.d. P.c. | |
3650 Joseph Siewick Dr Ste 107 Fairfax VA 22033-1711 | |
(703) 716-2866 | |
(703) 716-2868 |
Full Name | Siavash Sobhani M.d. P.c. |
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Speciality | Clinic/Center |
Location | 3650 Joseph Siewick Dr Ste 107, Fairfax, Virginia |
Authorized Official Name and Position | Siavash Sobhani (PRESIDENT) |
Authorized Official Contact | 7037162866 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Siavash Sobhani M.d. P.c. 3650 Joseph Siewick Dr Ste 107 Fairfax VA 22033-1711 Ph: (703) 716-2866 | Siavash Sobhani M.d. P.c. 3650 Joseph Siewick Dr Ste 107 Fairfax VA 22033-1711 Ph: (703) 716-2866 |
NPI Number | 1386878999 |
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Provider Enumeration Date | 05/11/2009 |
Last Update Date | 05/11/2009 |
Medicare PECOS PAC ID | 3971650458 |
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Medicare Enrollment ID | O20090421000280 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386878999 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 0101050949 (Virginia) | Primary |
Provider Name | Wasel S Akbary |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1639189194 PECOS PAC ID: 5395761332 Enrollment ID: I20060105000828 |
Provider Name | Siavash Sobhani |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1790872455 PECOS PAC ID: 5890842371 Enrollment ID: I20090421000273 |
Provider Name | Ramin Mazhari |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1811041106 PECOS PAC ID: 9032111240 Enrollment ID: I20140505000071 |
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