Bazaz, Subash B.
Bazaz, Subash B. is an individual health care provider with primary practice located at 44035 Riverside Pkwy Ste 400, Leesburg VA 20176-8260. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Bazaz, Subash B. can be contacted via phone (703) 858-5421.Contact Information
Primary practice address
44035 Riverside Pkwy Ste 400
Leesburg VA 20176-8260
Phone: (703) 858-5421
Fax: (703) 858-9573
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 0101232467 | Virginia |
Profile Details
NPI number | 1619971264 |
---|---|
LBN Legal business name | Bazaz, Subash B. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 10th, 2005 |
Last updated | Jul 14th, 2023 - about last year |
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 | 1619971264 | NPPES |
District of Columbia | Other | 060066479 | RAILROAD MEDICARE DC # |
District of Columbia | MEDICAID | 1619971264 | RAILROAD MEDICARE DC # |
District of Columbia | MEDICAID | 034162800 | RAILROAD MEDICARE DC # |
District of Columbia | MEDICAID | 487504400 | RAILROAD MEDICARE DC # |
District of Columbia | Other | 060066480 | RAILROAD MEDICARE DC # |
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