MEDICARE: ALI M SAJADI MD

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
1	208800000X	Urology Physician	0101238665	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326028614
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALI M SAJADI MD

Provider Business Mailing Address
First Line	:	2200 WILSON BLVD STE 102-18
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22201-3397
Country	:	US
Telephone Number	:	202-210-8366
Fax Number	:

Provider Business Practice Location Address
First Line	:	2200 WILSON BLVD STE 102-18
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22201-3397
Country	:	US
Telephone Number	:	202-210-8366
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/20/2006
Last Update Date	:	05/23/2023

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