Healthcare Provider Details

I. General information

NPI: 1740688845
Provider Name (Legal Business Name): NEW HORIZON PEDIATRICS, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2014
Last Update Date: 12/05/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1760 RESTON PKWY STE 400
RESTON VA
20190-3360
US

IV. Provider business mailing address

1760 RESTON PKWY STE 400
RESTON VA
20190-3360
US

V. Phone/Fax

Practice location:
  • Phone: 703-467-9444
  • Fax: 703-467-8484
Mailing address:
  • Phone: 703-467-9444
  • Fax: 703-467-8484

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0101235758
License Number StateVA

VIII. Authorized Official

Name: DR. NILOOFAR ARBABI
Title or Position: PRESIDENT
Credential: M.D.
Phone: 703-467-9444