Individual
DR. ASDOLLAH LIVANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
46045 PALISADE PKWY, POTOMAC FALLS, VA 20165-8761
(703) 430-4343
(703) 313-8865
Mailing address
PO BOX 37189, BALTIMORE, MD 21297-3189
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101244989
VA
207Q00000X
Family Medicine Physician
ME0073595
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K8174
MEDICARE IDENTIFICATION NUMBER
FL
Enumeration date
09/26/2005
Last updated
11/27/2023
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