Goudarzi, Behnam M

Goudarzi, Behnam M is an individual health care provider with primary practice located at 2028 Opitz Blvd Ste B , Woodbridge VA 22191-3326. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Goudarzi, Behnam M can be contacted via phone (703) 497-0212.

Contact Information

Primary practice address
2028 Opitz Blvd Ste B Woodbridge VA 22191-3326
Phone: (703) 497-0212
Fax: (703) 497-0421
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 0101239238 Virginia
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 0101238239 Virginia
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 0101239238 Virginia

Profile Details

NPI number 1629073994
LBN Legal business name Goudarzi, Behnam M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated Aug 16th, 2013 - about 12 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 1629073994 NPPES
Virginia MEDICAID 010277710

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