Yazdani, Shahram

Yazdani, Shahram is an individual health care provider with primary practice located at 8100 Ashton Ave Suite 200, Manassas VA 20109-5688. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Yazdani, Shahram can be contacted via phone (703) 331-0300.

Contact Information

Primary practice address
8100 Ashton Ave Suite 200 Manassas VA 20109-5688
Phone: (703) 331-0300
Fax: (703) 331-0300
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 101226688 Virginia

Profile Details

NPI number 1174566731
LBN Legal business name Yazdani, Shahram
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Feb 29th, 2012 - about 13 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 1174566731 NPPES
Virginia Other 481437 OPT/MDIPA/MAMSI
Virginia MEDICAID 5843278 OPT/MDIPA/MAMSI
Virginia Other 70670002 OPT/MDIPA/MAMSI
Virginia Other 2346100 OPT/MDIPA/MAMSI
Virginia Other 2501042 OPT/MDIPA/MAMSI
Virginia Other 5292653 OPT/MDIPA/MAMSI
Virginia MEDICAID 10029295 OPT/MDIPA/MAMSI
Virginia Other 541984220 OPT/MDIPA/MAMSI
Virginia Other 216818 OPT/MDIPA/MAMSI
Virginia Other 562289471 OPT/MDIPA/MAMSI
Virginia Other J0600001 OPT/MDIPA/MAMSI
Virginia Other 10390896 OPT/MDIPA/MAMSI
Virginia Other 1274643 OPT/MDIPA/MAMSI
Virginia Other 461213 OPT/MDIPA/MAMSI

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