MEDICARE: ARIA DERMATOLOGY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician

General Provider Information

NPI Number	:	1174494207
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARIA DERMATOLOGY LLC

Provider Business Mailing Address
First Line	:	2296 OPITZ BLVD STE 250
Second Line	:
City	:	WOODBRIDGE
State	:	VA
Zip	:	22191-3345
Country	:	US
Telephone Number	:	703-844-4267
Fax Number	:	703-982-7238

Provider Business Practice Location Address
First Line	:	2296 OPITZ BLVD STE 250
Second Line	:
City	:	WOODBRIDGE
State	:	VA
Zip	:	22191-3345
Country	:	US
Telephone Number	:	703-491-7155
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	MOHAMMAD-ALI YAZDANI ABYANEH
Credential	:	MD
Telephone Number	:	703-844-4267

Provider Enumeration Date	:	09/12/2025
Last Update Date	:	12/15/2025

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