Bahadori, Robert S

Bahadori, Robert S is an individual health care provider with primary practice located at 8316 Arlington Blvd Suite 300, Fairfax VA 22031-5207. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Pediatric Otolaryngology. Allopathic & Osteopathic Physicians / Pediatric Otolaryngology is his primary health care specialty. Bahadori, Robert S can be contacted via phone (703) 573-7600.

Contact Information

Primary practice address
8316 Arlington Blvd Suite 300 Fairfax VA 22031-5207
Phone: (703) 573-7600
Fax: (703) 560-3808
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 0101053696 Virginia
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X 0101053696 Virginia

Profile Details

NPI number 1053377903
LBN Legal business name Bahadori, Robert S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Dec 21st, 2018 - about 6 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 1053377903 NPPES
Virginia MEDICAID 006715176
Virginia Other 0009
Virginia Other 0101053696

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