| Shahram Yazdani, MD | |
|
8100 Ashton Ave, Suite 200, Manassas, VA 20109-5688 | |
| (703) 331-0300 | |
| (703) 331-0300 |
| Full Name | Shahram Yazdani |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 34 Years |
| Location | 8100 Ashton Ave, Manassas, 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 |
|---|---|---|---|
| 1174566731 | NPI | - | NPPES |
| 481437 | Other | VA | OPT/MDIPA/MAMSI |
| 5843278 | Medicaid | VA | |
| 70670002 | Other | VA | CAREFIRST PROVIDER NUMBER |
| 2346100 | Other | VA | AETNA HMO NUMBER |
| 2501042 | Other | VA | UNITEDHEALTH CARE NUMBER |
| 5292653 | Other | VA | AETNA PPO NUMBER |
| 10029295 | Medicaid | VA | |
| 541984220 | Other | VA | TAX ID VIRGINIA CARDIO AS |
| 216818 | Other | VA | ANTHEM PROVIDER NUMBER |
| 562289471 | Other | VT | TAX ID MANASSAS HEART |
| J0600001 | Other | VA | CAREFIRST |
| 10390896 | Other | VA | CAQH |
| 1274643 | Other | VA | CIGNA HMO PROVIDER NUMBER |
| 461213 | Other | VA | ANTHEM FOR MANASSAS HEART |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 101226688 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Inova Fairfax Hospital | Falls church, VA | Hospital |
| Fauquier Hospital | Warrenton, VA | Hospital |
| Virginia Hospital Center | Arlington, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carient Heart And Vascular, Llc | 4082972468 | 20 |
| Carient Heart And Vascular, Llc | 4082972468 | 20 |
| Entity Name | Carient Heart & Vascular, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669982526 PECOS PAC ID: 4082972468 Enrollment ID: O20171229002036 |
| Mailing Address | Practice Location Address |
|---|---|
| Shahram Yazdani, MD 8100 Ashton Ave, Suite 200, Manassas, VA 20109-5688 Ph: (703) 331-0300 | Shahram Yazdani, MD 8100 Ashton Ave, Suite 200, Manassas, VA 20109-5688 Ph: (703) 331-0300 |
Myung W Choi, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 8640 Sudley Rd Ste 201, Manassas, VA 20110 Phone: 703-368-6819 Fax: 703-330-2923 | |
David Mark Demaria, Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 8640 Sudley Rd Ste 302, Manassas, VA 20110 Phone: 703-369-5959 Fax: 703-369-7473 | |
Juan Weiss, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 9335 Amaryllis Ave., Manassas, VA 20110 Phone: 703-963-6791 | |
Seraphine A Soosaimanickam, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 10701 Rosemary Dr, Kaiser Permanente-manassas, Manassas, VA 20109 Phone: 703-257-3000 Fax: 703-257-3133 | |
Dr. Nina Phatak, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 8640 Sudley Rd Ste 201, Manassas, VA 20110 Phone: 703-368-6819 Fax: 703-330-2923 | |
Dr. Muhammad Mannan Siddiqui, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 9450 Innovation Dr, Manassas, VA 20110 Phone: 571-350-8400 Fax: 571-222-2202 | |
Dr. Darren S Baroni, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 8640 Sudley Rd Ste 201, Manassas, VA 20110 Phone: 703-368-6819 Fax: 703-330-2923 |