Organization
SKIN AND LASER SURGERY CENTER
Active
Organization
SKIN AND LASER SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMIR BAJOGHLI MD (PRESIDENT)
(703) 492-4140
Entity
Organization
Contact information
Practice address
8130 BOONE BLVD, SUITE 340, VIENNA, VA 22182-2666
(703) 492-4140
(703) 490-6443
Mailing address
PO BOX 2010, MERRIFIELD, VA 22116-2010
(703) 492-4140
(703) 492-5409
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
0101053252
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
269480
ANTHEM
VA
01
—
7371099
AETNA
VA
01
—
8297441
CIGNA
VA
01
—
F502
CAREFIRST
VA
Enumeration date
10/24/2007
Last updated
09/24/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up