1801805858 NPI number — ALI RAHIMIAN M.D.

Table of Contents

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".