1801805858 NPI number — ALI RAHIMIAN M.D.

Table of content: ALI RAHIMIAN M.D. (NPI 1801805858)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801805858 NPI number — ALI RAHIMIAN M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RAHIMIAN
Provider First Name:
ALI
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1801805858
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/16/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 3374
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MERRIFIELD
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
22116-3374
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
703-485-8600
Provider Business Mailing Address Fax Number:
949-437-2277

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8133 LEESBURG PIKE STE 540
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
VIENNA
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22182-2730
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
703-485-8600
Provider Business Practice Location Address Fax Number:
949-437-2277
Provider Enumeration Date:
08/07/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  0101231728 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1940540 . This is a "AETNA RAHIMIAN AND ASSOCIATES" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 2674736 . This is a "MAIL HANDLERS RAHIMIAN AND ASSOCIATES" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 490893ZA3Z . This is a "GROUP MEMBER PROVIDER NUMBER MEDICARE" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".
  • Identifier: 913507301 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1124288600 . This is a "UNITED BILLING NPI" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 1801805858 . This is a "PERSONAL NPI ALI RAHIMIAN, M.D." identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 6712056 . This is a "CIGNA" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: N404 . This is a "CAREFIRST" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".
  • Identifier: 1124288600 . This is a "RAHIMIAN AND ASSOCIATES PC" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 1124288600 . This is a "BRAVO RAHIMIAN AND ASSOCIATES" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1124288600 . This is a "NASCO DEDICATED SERVICE" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 1124288600 . This is a "PTAN 133895 GROUP MEMBER 490893ZA3Z" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".




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