Dr. Ali A Damavandy
Procedural Dermatology MOHS-Micrographic Surgeon
1365 Beverly Rd 2nd Floor
Mc Lean
, Virginia 22101-3624
Dr. Ali A Damavandy
Procedural Dermatology MOHS-Micrographic Surgeon
1365 Beverly Rd 2nd Floor
Mc Lean
, Virginia 22101-3624
(703) 798-0610
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About
Features
Specialties
- MOHS-Micrographic Surgeon
- Procedural Dermatology
Languages spoken
- English
Location
First Address
- Dr. Ali A Damavandy
- 10405 Chelsea Manors Ct
- Great Falls, VA
- Zip : 22066-3232
- Phone : (703) 798-0610
Second Address
- Dr. Ali A Damavandy
- 1365 Beverly Rd 2nd Floor
- Mc Lean, VA
- Zip : 22101-3624
- Fax : (703) 790-1028
- Phone : (703) 790-5850
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207ND0101X | MOHS-Micrographic Surgeon | 0101260257 | VA |
| N | 207ND0101X | MOHS-Micrographic Surgeon | MD454457 | PA |
| N | 207NS0135X | Procedural Dermatology | MD454457 | PA |
National Provider Identifier
| NPI | 1376836668 |
|---|---|
| Provider Name | Dr. Ali A Damavandy |
| First Address | Great Falls, VA 22066-3232 |
| Second Address | Mc Lean, VA 22101-3624 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/05/2011 |
| Last Update Date | 03/08/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.