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
Fax: (703) 497-6300
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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