Healthcare Provider Details

I. General information

NPI: 1932633534
Provider Name (Legal Business Name): AHAN L HUNTER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2017
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8998 LORTON STATION BLVD STE A
LORTON VA
22079-4790
US

IV. Provider business mailing address

2298 OPITZ BLVD, SUITE 440
WOODBRIDGE VA
22191
US

V. Phone/Fax

Practice location:
  • Phone: 703-878-0740
  • Fax: 703-878-3933
Mailing address:
  • Phone: 703-878-0740
  • Fax: 703-878-3933

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD600004657
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number0101271943
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: