Individual
DR. KAMYAR KHAZAEIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-4001
(703) 776-7113
Mailing address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-4001
(703) 776-7113
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0101273188
VA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
BP10057946
TX
Other
Enumeration date
04/16/2012
Last updated
10/27/2021
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