MR. AMIR MAHAN GHAZNAVI MD NPI 1508021445

NPI Information

NPI: 1508021445
Provider Name: MR. AMIR MAHAN GHAZNAVI, MD
Classification: Surgery - 2086S0122X
Entity Type: Individual

Specialization: Plastic and Reconstructive Surgery

PECOS Registration: Yes

Address:
13454 SUNRISE VALLEY DR STE 130
HERNDON, VA
ZIP 20171
Phone: (703) 239-3190
Get Directions

MR. Amir Mahan Ghaznavi, MD is a plastic and reconstructive surgery surgery in Herndon, VA with 18 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. MR. Amir Mahan Ghaznavi, MD NPI is 1508021445. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

13454 SUNRISE VALLEY DR STE 130
HERNDON, VA
ZIP 20171-278
Phone: (703) 239-3190

The NPI 1508021445 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/21/2008 and was last updated on 12/6/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0122X	Surgery	Plastic and Reconstructive Surgery	4301100153	MICHIGAN	No
2	390200000X	Student in an Organized Health Care Education/Training Program				No
3	2086S0122X	Surgery	Plastic and Reconstructive Surgery	0101273392	VIRGINIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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