Boutros, Ayman

Boutros, Ayman is an individual health care provider with primary practice located at 21475 Ridgetop Cir Suite 300, Sterling VA 20166-6580. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Boutros, Ayman can be contacted via phone (703) 430-4400.

Contact Information

Primary practice address
21475 Ridgetop Cir Suite 300 Sterling VA 20166-6580
Phone: (703) 430-4400
Fax: (703) 430-4130
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 0101043806 Virginia

Profile Details

NPI number 1366530131
LBN Legal business name Boutros, Ayman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Oct 2nd, 2023 - about 2 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 1366530131 NPPES
Virginia MEDICAID 1366530131
Virginia MEDICAID 30015510290001

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