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Organization
PODIATRY CENTER-ANNANDALE PC
Active
Organization
PODIATRY CENTER-ANNANDALE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ATOOSA KASHANI D.P.M (PODIATRIST)
(703) 750-1124
Entity
Organization
Contact information
Practice address
7540 LITTLE RIVER TPKE, SUITE I, ANNANDALE, VA 22003-2839
(703) 750-1124
(703) 750-2043
Mailing address
7540 LITTLE RIVER TPKE, SUITE I, ANNANDALE, VA 22003-2839
(703) 750-1124
(703) 750-2043
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0103300978
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060211
BLUE CROSS OF MASS.
MA
01
—
212945
MDIPA/OPT CHOICE/MAMSI
—
01
—
290568
ANTHEM BLUE CROSS
—
01
—
4092107
AETNA
—
01
—
480019809
MEDICARE RAILROAD
—
05
—
930431
—
VA
Enumeration date
09/25/2006
Last updated
06/17/2013
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