Individual
SHAHRAM YAZDANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8100 ASHTON AVE, SUITE 200, MANASSAS, VA 20109-5688
(703) 331-0300
(703) 331-0300
Mailing address
8100 ASHTON AVE, SUITE 200, MANASSAS, VA 20109-5688
(703) 331-0300
(703) 331-0300
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
101226688
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10029295
—
VA
01
—
10390896
CAQH
VA
01
—
1274643
CIGNA HMO PROVIDER NUMBER
VA
01
—
216818
ANTHEM PROVIDER NUMBER
VA
01
—
2346100
AETNA HMO NUMBER
VA
01
—
2501042
UNITEDHEALTH CARE NUMBER
VA
01
—
461213
ANTHEM FOR MANASSAS HEART
VA
01
—
481437
OPT/MDIPA/MAMSI
VA
01
—
5292653
AETNA PPO NUMBER
VA
01
—
541984220
TAX ID VIRGINIA CARDIO AS
VA
01
—
562289471
TAX ID MANASSAS HEART
VT
05
—
5843278
—
VA
01
—
70670002
CAREFIRST PROVIDER NUMBER
VA
01
—
J0600001
CAREFIRST
VA
Enumeration date
06/13/2006
Last updated
02/29/2012
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