# ASCENT INTEGRATED MEDICINE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548038391
- **Authorized official:** AMIR AHMADIYAR (PRESIDENT)
- **Authorized official phone:** (703) 282-6904

## Contact information

- **Practice address:** 3301 WOODBURN RD \# 206, ANNANDALE, VA 22003-1229
- **Practice address phone:** (703) 538-5455
- **Practice address fax:** (703) 538-6675
- **Mailing address:** 3301 WOODBURN RD \# 206, ANNANDALE, VA 22003-1229
- **Mailing address phone:** (703) 282-6904
- **Mailing address fax:** (703) 538-6675

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/12/2023
- **Last updated:** 01/08/2025