Individual
BENJAMIN BEHNOUD NIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3700 JOSEPH SIEWICK DR STE 302, FAIRFAX, VA 22033-1739
(703) 648-2488
(703) 648-2489
Mailing address
1221 MASSACHUSETTS AVE NW APT 1017, WASHINGTON, DC 20005-5331
(328) 636-3958
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101275514
VA
207R00000X
Internal Medicine Physician
BP10063399
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2018
Last updated
08/03/2022
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