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Organization
MASOOM M KANDAHARI MD PC
Active
Organization
MASOOM M KANDAHARI MD PC
Active
Other names
Cancer and Blood Specialists of Northern VA PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MASOOM M KANDAHARI MD (OWNER)
(703) 590-8300
Entity
Organization
Contact information
Practice address
2280 OPITZ BLVD, STE 220, WOODBRIDGE, VA 22191-3362
(703) 590-8300
(703) 590-8301
Mailing address
2280 OPITZ BLVD, STE 220, WOODBRIDGE, VA 22191-3362
(703) 590-8300
(703) 590-8301
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467448100
KANDAHARI INDIVIDUAL NPI
VA
01
—
1760415269
CAFFEY INDIVIDUAL NPI
VA
01
—
61950001
KANDAHARI BCBS
VA
Enumeration date
01/03/2007
Last updated
08/22/2020
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