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NPI Code Detail

MEDICARE: NILOFAR ARIASAIF PA-C

MEDICARE: NILOFAR ARIASAIF PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant
2363AS0400XSurgical Physician Assistant
3363A00000XPhysician Assistant0110007601VA

General Provider Information

NPI Number : 1295356145
Entity Type Code : Individual
Provider Name (Legal Business Name) : NILOFAR ARIASAIF PA-C
Provider Business Mailing Address
First Line : 14000 CROWN CT STE 201
Second Line :
City : WOODBRIDGE
State : VA
Zip : 22193-1463
Country : US
Telephone Number : 703-499-8787
Fax Number :
Provider Business Practice Location Address
First Line : 14000 CROWN CT STE 201
Second Line :
City : WOODBRIDGE
State : VA
Zip : 22193-1463
Country : US
Telephone Number : 703-499-8787
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2020
Last Update Date : 10/19/2021

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Directions to “ NILOFAR ARIASAIF PA-C” Practice Location

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