| Mr Masoom M Kandahari, MD FACP | |
|
2280 Opitz Blvd Ste 340, Woodbridge, VA 22191-3362 | |
| (703) 590-8300 | |
| (703) 590-8301 |
| Full Name | Mr Masoom M Kandahari |
|---|---|
| Gender | Male |
| Speciality | Hematology/oncology |
| Experience | 46 Years |
| Location | 2280 Opitz Blvd Ste 340, Woodbridge, 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 |
|---|---|---|---|
| 1467448100 | NPI | - | NPPES |
| 21384 | Other | MAMSI OPT CHOICE ALLIANCE | |
| 481116 | Other | AETNA | |
| 6098673 | Medicaid | VA | |
| 3600124 | Other | UNITED HEALTHCARE | |
| 143524 | Other | ANTHEM (ARLINGTON) | |
| 61950001 | Other | BC/BS NCA | |
| 3722047001 | Other | CIGNA | |
| P00017437 | Other | RAILROAD MEDICARE | |
| 067857 | Other | ANTHEM (WOODBRIDGE) |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RX0202X | Internal Medicine - Medical Oncology | 0101040044 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Medical Center Redding | Redding, CA | Hospital |
| St Elizabeth Community Hospital | Red bluff, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Oncology Institute Ca, A Professional Corporation | 5698872398 | 90 |
| Entity Name | The Oncology Institute Ca, A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275651515 PECOS PAC ID: 5698872398 Enrollment ID: O20070514000607 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Masoom M Kandahari, MD FACP 1350 Woodside Dr, Mc Lean, VA 22102-1530 Ph: () - | Mr Masoom M Kandahari, MD FACP 2280 Opitz Blvd Ste 340, Woodbridge, VA 22191-3362 Ph: (703) 590-8300 |
Sowjanya Bhagavatula, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 14139 Potomac Mills Rd, Woodbridge, VA 22192 Phone: 703-490-8400 | |
Dr. Uzma Amer Mian, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4899 Prince William Pkwy, Woodbridge, VA 22192 Phone: 833-510-4357 | |
Dr. Jack C Huang, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 14010 Smoketown Rd, Suite 117, Woodbridge, VA 22192 Phone: 703-580-0181 Fax: 703-897-8763 | |
Dr. Nizar Mohamed Hussain, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2000 Opitz Blvd, Woodbridge, VA 22191 Phone: 703-494-4116 Fax: 703-497-0051 | |
Fiona Mienko, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2280 Opitz Blvd, Woodbridge, VA 22191 Phone: 703-590-8300 Fax: 703-590-8301 | |
Elena Short, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 14139 Potomac Mills Rd, Woodbridge, VA 22192 Phone: 703-359-7878 | |
Richard George Robinson, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 2296 Opitz Blvd, Suite 230, Woodbridge, VA 22191 Phone: 703-878-0924 Fax: 703-878-1037 |