Ardestani, Afrooz
Ardestani, Afrooz is an individual health care provider with primary practice located at 3580 Joseph Siewick Dr Ste 401 , Fairfax VA 22033-1764. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is her primary health care specialty. Ardestani, Afrooz can be contacted via phone (703) 391-4140.Contact Information
Primary practice address
3580 Joseph Siewick Dr Ste 401
Fairfax VA 22033-1764
Phone: (703) 391-4140
Fax: (703) 391-4148
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 047642 | Connecticut |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | Connecticut | |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 0101256998 | Virginia |
Profile Details
| NPI number | 1578701249 |
|---|---|
| LBN Legal business name | Ardestani, Afrooz |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 3rd, 2009 |
| Last updated | Jul 16th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578701249 | NPPES |
| Connecticut | MEDICAID | 001476423 |
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