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
Phone: (703) 680-2111
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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