Healthcare Provider Details

I. General information

NPI: 1629463229
Provider Name (Legal Business Name): AMIR ARSALAN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2015
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2440 M ST NW STE 200
WASHINGTON DC
20037-1449
US

IV. Provider business mailing address

2440 M ST NW STE 200
WASHINGTON DC
20037-1449
US

V. Phone/Fax

Practice location:
  • Phone: 202-785-4187
  • Fax:
Mailing address:
  • Phone: 202-785-4187
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberMD500003476
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number0101272077
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: