Individual
MR. WAHEEDULLAH AHMADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSA, LSA
Contact information
Practice address
3700 JOSEPH SIEWICK DR, 408, FAIRFAX, VA 22033-1744
(816) 389-7390
Mailing address
3700 JOSEPH SIEWICK DR, 408, FAIRFAX, VA 22033-1744
(816) 389-7390
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
4318
VA
Other
Enumeration date
03/16/2015
Last updated
10/18/2016
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