Healthcare Provider Details

I. General information

NPI: 1659514289
Provider Name (Legal Business Name): ARIO BABOLIAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/13/2009
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1892 PRESTON WHITE DR STE 201
RESTON VA
20191-5498
US

IV. Provider business mailing address

1892 PRESTON WHITE DR STE 201
RESTON VA
20191-5498
US

V. Phone/Fax

Practice location:
  • Phone: 571-786-1492
  • Fax: 833-974-5141
Mailing address:
  • Phone: 571-786-1492
  • Fax: 833-974-5141

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number0101269627
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0101269627
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: