Individual
DR. KAMBIZ TAJKARIMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
44055 RIVERSIDE PKWY STE 208, LEESBURG, VA 20176-5176
(703) 687-3601
(703) 687-3602
Mailing address
44055 RIVERSIDE PKWY STE 208, LEESBURG, VA 20176-5176
(703) 687-3601
(703) 687-3602
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0101257572
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021322530002
—
PA
01
—
867633
MEDICARE GROUP #
PA
Enumeration date
03/21/2007
Last updated
06/16/2018
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