Organization
ROSTAMI OPHTHALMIC PLASTIC CONSULTANT LLC
Active
Other names
Ophthalmic Plastic Consultants
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOHEILA ROSTAMI MD (PHYSICIAN/OWNER)
(571) 203-1300
Entity
Organization
Contact information
Practice address
1860 TOWN CENTER DR, SUITE 250, RESTON, VA 20190-5896
(571) 203-1300
(215) 243-7546
Mailing address
1860 TOWN CENTER DR, SUITE 250, RESTON, VA 20190-5896
(571) 203-1300
(215) 243-7546
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101058189
VA
174400000X
Specialist
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215963517
INDIVIDUAL NPI
—
Enumeration date
09/18/2007
Last updated
04/08/2008
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