Individual
SHIRZAD ALEXDANDROS RAHIMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
14701 LEE HIGHWAY, SUITE 303, CENTREVILLE, VA 20121-2137
(301) 502-9680
Mailing address
14701 LEE HWY, SUITE 303, CENTREVILLE, VA 20121-2137
(301) 502-9680
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000000
BCBS, CIGNA, UNITED HEALTHCARE, CARE FIRST
VA
Enumeration date
10/30/2012
Last updated
11/12/2020
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