| Kaveh Parvaresh, M.d., P.c. | |
|
611 S Carlin Springs Rd Ste 309 Arlington VA 22204-1086 | |
| (703) 671-8444 | |
| (703) 671-2476 |
| Full Name | Kaveh Parvaresh, M.d., P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 611 S Carlin Springs Rd Ste 309, Arlington, Virginia |
| Authorized Official Name and Position | Kaveh Parvaresh (PRESIDENT) |
| Authorized Official Contact | 7036718444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaveh Parvaresh, M.d., P.c. Po Box 11149 Alexandria VA 22312-0149 Ph: () - | Kaveh Parvaresh, M.d., P.c. 611 S Carlin Springs Rd Ste 309 Arlington VA 22204-1086 Ph: (703) 671-8444 |
| NPI Number | 1053567719 |
|---|---|
| Provider Enumeration Date | 08/13/2008 |
| Last Update Date | 01/16/2020 |
| Medicare PECOS PAC ID | 1153483136 |
|---|---|
| Medicare Enrollment ID | O20081230000087 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053567719 | NPI | - | NPPES |
| 010402913 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101238365 (Virginia) | Primary |
| Provider Name | Kaveh Parvaresh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497702948 PECOS PAC ID: 1658382767 Enrollment ID: I20070531000251 |
| Provider Name | Axel A Lucca |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124498944 PECOS PAC ID: 0446542369 Enrollment ID: I20160713000114 |
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