NPI 1235395179
Plastic Surgery and Dermatology Associates, LLC
Practice location
- Address
- 8501 Arlington Blvd STE 310, Fairfax, VA 22031-4625
- Phone
- (703) 645-0077
- Mailing address
- PO Box 8310, Roanoke, VA 24014-0310
Authorised official
- Name
- Shabnam Shahabadi
- Title
- Co-Manager
- Phone
- (703) 645-0077
Registered specialties (2)
Plastic Surgery Physician
Primary
Dermatology Physician
Registry record
- NPI
- 1235395179
- Entity type
- Organization
- NPI issued
- 30 Jul 2008
- Record last updated
- 23 Nov 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.