Healthcare Provider Details

I. General information

NPI: 1699763961
Provider Name (Legal Business Name): BEHJAT ALEMI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 10/11/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1850 TOWN CENTER PKWY RESTON HOSPITAL CENTER
RESTON VA
20190-3219
US

IV. Provider business mailing address

1300 PICCARD DR STE 102
ROCKVILLE MD
20850-4303
US

V. Phone/Fax

Practice location:
  • Phone: 703-689-9089
  • Fax: 703-689-9109
Mailing address:
  • Phone: 301-921-7900
  • Fax: 301-921-7915

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number0101044547
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License NumberD0021563
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: