Individual
DR. SIAMAK HEYDARIAN
Active
Individual
DR. SIAMAK HEYDARIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101048248
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102386
AETNA
—
01
—
110228399
RR MEDICARE
—
01
—
1452619015
CIGNA
—
01
—
150789200
DEPT OF LABOR
—
01
—
194200
AMERIGROUP
—
01
—
289363
MAMSI
—
01
—
433755
ANTHEM BCBS
VA
05
—
5853451
—
VA
01
—
61910001
CAREFIRST BC BS
—
Enumeration date
06/15/2006
Last updated
01/16/2008
Update your record
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