Heydarian, Siamak
Heydarian, Siamak is an sole proprietor health care provider with primary practice located at 2200 Opitz Blvd Suite 350, Woodbridge VA 22191-3321. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Heydarian, Siamak can be contacted via phone (703) 497-6700.Contact Information
Primary practice address
2200 Opitz Blvd Suite 350
Woodbridge VA 22191-3321
Phone: (703) 497-6700
Fax: (703) 497-6300
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0101048248 | Virginia |
Profile Details
NPI number | 1225072077 |
---|---|
LBN Legal business name | Heydarian, Siamak |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 15th, 2006 |
Last updated | Jan 16th, 2008 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1225072077 | NPPES |
Other | 110228399 | RR MEDICARE | |
Other | 1452619015 | RR MEDICARE | |
Other | 433755 | RR MEDICARE | |
Other | 61910001 | RR MEDICARE | |
Other | 194200 | RR MEDICARE | |
Other | 289363 | RR MEDICARE | |
Other | 150789200 | RR MEDICARE | |
MEDICAID | 5853451 | RR MEDICARE | |
Other | 102386 | RR MEDICARE |
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