MEDICARE: MOHAMMAD IBRAHIM AHMADZAI

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	106S00000X	Behavior Technician	RBT-25-440733	VA

General Provider Information

NPI Number	:	1750230017
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOHAMMAD IBRAHIM AHMADZAI

Provider Business Mailing Address
First Line	:	12156 SALEMTOWN DR
Second Line	:
City	:	WOODBRIDGE
State	:	VA
Zip	:	22192-6261
Country	:	US
Telephone Number	:	571-427-5949
Fax Number	:

Provider Business Practice Location Address
First Line	:	12156 SALEMTOWN DR
Second Line	:
City	:	WOODBRIDGE
State	:	VA
Zip	:	22192-6261
Country	:	US
Telephone Number	:	571-427-5949
Fax Number	:

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

Provider Enumeration Date	:	01/28/2026
Last Update Date	:	01/28/2026

Similar Medicare Providers

1386608586 — CONTINENTAL DIALYSIS CENTERS INC
Practice Location Address:

2751 KILLARNEY DR
WOODBRIDGE, VA
22192-4119

Practice Phone: 703-897-7027
Practice Fax: 703-897-1328

1740274836 — MR. VIPOOL KIRIT GORADIA MD
Practice Location Address:

2750 KILLARNEY DR STE 200
WOODBRIDGE, VA
22192-4167

Practice Phone: 443-258-1280
Practice Fax:

1790635969 — JAVIER ANTONIO RIVERA
Practice Location Address:

4565 DAISY REID AVE
WOODBRIDGE, VA
22192-5670

Practice Phone: 703-523-8750
Practice Fax:

1124907423 — SOZOYA ALLIANCE LLC
Practice Location Address:

4317 RIDGEWOOD CENTER DR
WOODBRIDGE, VA
22192-5308

Practice Phone: 206-751-7700
Practice Fax:

1699625608 — MAKAYLA A DINEEN
Practice Location Address:

4001 PRINCE WILLIAM PKWY STE 301
WOODBRIDGE, VA
22192-7667

Practice Phone: 703-688-8541
Practice Fax:

1952453482 — RACHEL A JANSEN DO
Practice Location Address:

4379 RIDGEWOOD CENTER DR STE 102
WOODBRIDGE, VA
22192

Practice Phone: 703-680-7950
Practice Fax:

Directions to “ MOHAMMAD IBRAHIM AHMADZAI ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.