Healthcare Provider Details

I. General information

NPI: 1215905286
Provider Name (Legal Business Name): AJAY DAR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2006
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44035 RIVERSIDE PKWY STE 300
LEESBURG VA
20176-8260
US

IV. Provider business mailing address

3040 WILLIAMS DR STE 100
FAIRFAX VA
22031-4618
US

V. Phone/Fax

Practice location:
  • Phone: 703-208-3155
  • Fax: 703-724-7503
Mailing address:
  • Phone: 571-350-8400
  • Fax: 703-940-8692

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number0101231668
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number0101231668
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: