Dr. Ali A Damavandy, M.D.
Dermatology, MOHS-Micrographic Surgery in Mc Lean, VA. Individual provider (NPI-1).
NPI number1376836668
StatusActive
Last updated in NPPESApr 4, 2023
Details
- NPI
- 1376836668
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ali A Damavandy
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 19, 2011
- Certification date
- Apr 4, 2023
- Last updated
- Apr 4, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ND0101X | Dermatology, MOHS-Micrographic Surgery | 0101260257 | VA | Yes |
Practice location
6711 Whittier Ave Ste 101Mc Lean, VA 22101-4540
Phone 703-992-9211 · Fax 833-550-1728
Mailing address
6711 Whittier Ave Ste 101Mc Lean, VA 22101-4540
Phone 703-798-0610 · Fax 833-550-1728
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