Individual
AFROOZ ARDESTANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3580 JOSEPH SIEWICK DR STE 401, FAIRFAX, VA 22033-1764
(703) 391-4140
(703) 391-4148
Mailing address
3580 JOSEPH SIEWICK DR STE 401, FAIRFAX, VA 22033-1764
(703) 391-4140
(703) 391-4148
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
047642
CT
207RC0000X
Cardiovascular Disease Physician
Primary
0101256998
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001476423
—
CT
Enumeration date
02/03/2009
Last updated
07/16/2021
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