Organization
IMAGE MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHIRZAD ALEXANDROS RAHIMI CSA (CFO)
(301) 367-1666
Entity
Organization
Contact information
Practice address
14701 LEE HWY, SUITE 303, CENTREVILLE, VA 20121-2137
(301) 367-1666
Mailing address
P.O. BOX 231059, CENTREVILLE, VA 20120
(301) 367-1666
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
04/27/2011
Last updated
04/27/2011
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