Healthcare Provider Details

I. General information

NPI: 1124950126
Provider Name (Legal Business Name): KAMANDPLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 PIDGEON HILL DR STE 208
STERLING VA
20165-6134
US

IV. Provider business mailing address

20 PIDGEON HILL DR STE 208
STERLING VA
20165-6134
US

V. Phone/Fax

Practice location:
  • Phone: 571-414-0066
  • Fax:
Mailing address:
  • Phone: 571-414-0066
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ADEL YAZDANKHAHKENARY
Title or Position: OWNER
Credential: MD
Phone: 571-414-0066