Individual
ARDESHIR DAVOODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2199 OLD BRIDGE RD, LAKE RIDGE, VA 22192-2911
(703) 357-7707
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101248924
VA
Other
Enumeration date
03/05/2009
Last updated
03/31/2021
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