| Dr Asdollah Livani, MD | |
|
46045 Palisade Pkwy, Potomac Falls, VA 20165-8761 | |
| (703) 430-4343 | |
| (703) 313-8865 |
| Full Name | Dr Asdollah Livani |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 33 Years |
| Location | 46045 Palisade Pkwy, Potomac Falls, Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104812056 | NPI | - | NPPES |
| K8174 | Other | FL | MEDICARE IDENTIFICATION NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101244989 (Virginia) | Primary |
| 207Q00000X | Family Medicine | ME0073595 (Florida) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Privia Medical Group, Llc | 4385682061 | 1264 |
| Entity Name | Privia Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20050422000298 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Asdollah Livani, MD Po Box 37189, Baltimore, MD 21297-3189 Ph: (571) 423-5699 | Dr Asdollah Livani, MD 46045 Palisade Pkwy, Potomac Falls, VA 20165-8761 Ph: (703) 430-4343 |
Dr. Jeffrey L Kent, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 46045 Palisade Pkwy, Potomac Falls, VA 20165 Phone: 703-430-4343 Fax: 571-313-8865 | |
Dr. Shreya Alkesh Desai, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 46045 Palisade Pkwy, Potomac Falls, VA 20165 Phone: 703-430-4343 Fax: 571-313-8865 | |
Dr. Faiqa Mahmud, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 46045 Palisade Pkwy, Potomac Falls, VA 20165 Phone: 703-430-4343 Fax: 571-313-8865 |