Individual
DR. SIAVASH C SOBHANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3650 JOSEPH SIEWICK DR, # 107, FAIRFAX, VA 22033-1710
(703) 716-2866
(703) 716-2868
Mailing address
3650 JOSEPH SIEWICK DR, # 107, FAIRFAX, VA 22033-1710
(703) 716-2866
(703) 716-2868
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101050949
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5800846
—
VA
Enumeration date
10/06/2006
Last updated
07/08/2007
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