1023110426 NPI number — GHASSEM A NEJAD MD

Table of content: GHASSEM A NEJAD MD (NPI 1023110426)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023110426 NPI number — GHASSEM A NEJAD MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
NEJAD
Provider First Name:
GHASSEM
Provider Middle Name:
A
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
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:
1023110426
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/05/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2020 OPTIZ BLVD
Provider Second Line Business Mailing Address:
B
Provider Business Mailing Address City Name:
WOODBRIDGE
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
22191
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
703-690-2970
Provider Business Mailing Address Fax Number:
703-690-0895

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2020 OPTIZ BLVD
Provider Second Line Business Practice Location Address:
B
Provider Business Practice Location Address City Name:
WOODBRIDGE
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22191
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
703-690-2970
Provider Business Practice Location Address Fax Number:
703-690-0895
Provider Enumeration Date:
09/05/2006

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: 207X00000X , with the licence number:  0101021336 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207XS0106X , with the licence number: 0101021336 , 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)