Chandani, Ali Kassamali

Chandani, Ali Kassamali is an individual health care provider with primary practice located at 3600 Joseph Siewick Dr , Fairfax VA 22033-1709. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Chandani, Ali Kassamali can be contacted via phone (703) 391-3129.

Contact Information

Primary practice address
3600 Joseph Siewick Dr Fairfax VA 22033-1709
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X D62061 Maryland
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 0101240896 Virginia

Profile Details

NPI number 1609825777
LBN Legal business name Chandani, Ali Kassamali
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated Feb 23rd, 2016 - about 8 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 1609825777 NPPES
Virginia MEDICAID 010359520
Virginia Other K142-0001
Virginia Other 484645
Virginia MEDICAID 010360081
Virginia Other 139230
Virginia MEDICAID 010359627
Virginia MEDICAID 010357349
Virginia MEDICAID 406953600

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