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:
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Health care specialties

SpecialtyCodeLicense #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 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578701249 NPPES
Connecticut MEDICAID 001476423

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