Individual
AMIR M BEHSUDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPHT, EMT-B
Contact information
Practice address
14390 CHANTILLY CROSSING LN, CHANTILLY, VA 20151-2117
(703) 885-5546
(703) 885-5564
Mailing address
7805 KAREN FOREST DR, MC LEAN, VA 22102-2424
(202) 716-3056
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
B202104096
VA
183700000X
Pharmacy Technician
Primary
0230031906
VA
183700000X
Pharmacy Technician
PT00936
DC
183700000X
Pharmacy Technician
T19720
MD
Other
Enumeration date
04/26/2020
Last updated
02/05/2022
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