Individual
SOHAIL SAFDARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
14605 POTOMAC BRANCH DR STE 300, WOODBRIDGE, VA 22191-3337
(703) 490-1112
(703) 878-8735
Mailing address
14605 POTOMAC BRANCH DR STE 300, WOODBRIDGE, VA 22191-3337
(703) 490-1112
(703) 878-8735
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110002477
VA
363A00000X
Physician Assistant
012351
NY
Other
Enumeration date
02/15/2007
Last updated
08/28/2019
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