Healthcare Provider Details

I. General information

NPI: 1184321002
Provider Name (Legal Business Name): ALI M SAJADI MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2023
Last Update Date: 03/01/2023
Certification Date: 03/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 WILSON BLVD STE 102-18
ARLINGTON VA
22201-3397
US

IV. Provider business mailing address

2200 WILSON BLVD STE 102-18
ARLINGTON VA
22201-3397
US

V. Phone/Fax

Practice location:
  • Phone: --
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ALI M SAJADI
Title or Position: OWNER
Credential: MD
Phone: 202-210-8366