Kandahari, Masoom M

Kandahari, Masoom M is an individual health care provider with primary practice located at 2280 Opitz Blvd Ste 340 , Woodbridge VA 22191-3362. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Kandahari, Masoom M can be contacted via phone (703) 590-8300.

Contact Information

Primary practice address
2280 Opitz Blvd Ste 340 Woodbridge VA 22191-3362
Fax: (703) 590-8301
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 0101040044 Virginia

Profile Details

NPI number 1467448100
LBN Legal business name Kandahari, Masoom M
Credentials MD FACP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Aug 8th, 2023 - about last year

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 1467448100 NPPES
Other 21384 MAMSI OPT CHOICE ALLIANCE
Other 481116 MAMSI OPT CHOICE ALLIANCE
MEDICAID 6098673 MAMSI OPT CHOICE ALLIANCE
Other 3600124 MAMSI OPT CHOICE ALLIANCE
Other 143524 MAMSI OPT CHOICE ALLIANCE
Other 61950001 MAMSI OPT CHOICE ALLIANCE
Other 3722047001 MAMSI OPT CHOICE ALLIANCE
Other P00017437 MAMSI OPT CHOICE ALLIANCE
Other 067857 MAMSI OPT CHOICE ALLIANCE

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