| Siavash Sobhani M.d. P.c. | |
|
3650 Joseph Siewick Dr Ste 107 Fairfax VA 22033-1711 | |
| (703) 716-2866 | |
| (703) 716-2868 |
| Full Name | Siavash Sobhani M.d. P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 3650 Joseph Siewick Dr Ste 107, Fairfax, Virginia |
| Authorized Official Name and Position | Siavash Sobhani (PRESIDENT) |
| Authorized Official Contact | 7037162866 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Siavash Sobhani M.d. P.c. 3650 Joseph Siewick Dr Ste 107 Fairfax VA 22033-1711 Ph: (703) 716-2866 | Siavash Sobhani M.d. P.c. 3650 Joseph Siewick Dr Ste 107 Fairfax VA 22033-1711 Ph: (703) 716-2866 |
| NPI Number | 1386878999 |
|---|---|
| Provider Enumeration Date | 05/11/2009 |
| Last Update Date | 05/11/2009 |
| Medicare PECOS PAC ID | 3971650458 |
|---|---|
| Medicare Enrollment ID | O20090421000280 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386878999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 0101050949 (Virginia) | Primary |
| Provider Name | Wasel S Akbary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639189194 PECOS PAC ID: 5395761332 Enrollment ID: I20060105000828 |
| Provider Name | Siavash Sobhani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790872455 PECOS PAC ID: 5890842371 Enrollment ID: I20090421000273 |
| Provider Name | Ramin Mazhari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811041106 PECOS PAC ID: 9032111240 Enrollment ID: I20140505000071 |
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