Organization
AMG PLASTIC SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMIR M GHAZNAVI MD (OWNER)
(703) 239-3190
Entity
Organization
Contact information
Practice address
13454 SUNRISE VALLEY DR STE 130, HERNDON, VA 20171-3278
(703) 239-3190
(571) 621-7593
Mailing address
13454 SUNRISE VALLEY DR STE 130, HERNDON, VA 20171-3278
(703) 239-3190
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
01/31/2022
Last updated
01/31/2022
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