Kandabarow, Alexander Maxwell

Kandabarow, Alexander Maxwell is an individual health care provider with primary practice located at 2296 Opitz Blvd Ste 350 , Woodbridge VA 22191-3346. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Kandabarow, Alexander Maxwell can be contacted via phone (703) 680-2111.

Contact Information

Primary practice address
2296 Opitz Blvd Ste 350 Woodbridge VA 22191-3346
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 00000000 Illinois
Allopathic & Osteopathic Physicians / Urology 208800000X 036155865 Illinois
Allopathic & Osteopathic Physicians / Urology 208800000X 125068288 Illinois
Allopathic & Osteopathic Physicians / Urology 208800000X 0101274595 Virginia

Profile Details

NPI number 1649630211
LBN Legal business name Kandabarow, Alexander Maxwell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2016
Last updated Dec 15th, 2022 - 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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