MEDICARE: DR. ARIO BABOLIAN M.D.

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	207L00000X	Anesthesiology Physician	0101269627	VA
2	390200000X	Student in an Organized Health Care Education/Training Program
3	207Q00000X	Family Medicine Physician	0101269627	VA

General Provider Information

NPI Number	:	1659514289
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARIO BABOLIAN M.D.

Provider Business Mailing Address
First Line	:	1892 PRESTON WHITE DR STE 201
Second Line	:
City	:	RESTON
State	:	VA
Zip	:	20191-5498
Country	:	US
Telephone Number	:	571-786-1492
Fax Number	:	833-974-5141

Provider Business Practice Location Address
First Line	:	1892 PRESTON WHITE DR STE 201
Second Line	:
City	:	RESTON
State	:	VA
Zip	:	20191-5498
Country	:	US
Telephone Number	:	571-786-1492
Fax Number	:	833-974-5141

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

Provider Enumeration Date	:	04/13/2009
Last Update Date	:	03/19/2026

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