SIMON JOHN SIMONIAN M.D NPI 1336189810

NPI Information

  • NPI: 1336189810
  • Provider Name: SIMON JOHN SIMONIAN, M.D
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 3301 WOODBURN RD
    SUITE 202
    ANNANDALE, VA
    ZIP 22003
  • Phone: (703) 573-5500

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NPI Details

Simon John Simonian, M.D is a specialist in Annandale, VA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Simon John Simonian, M.D NPI is 1336189810. 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:

3301 WOODBURN RD
SUITE 202
ANNANDALE, VA
ZIP 22003-229
Phone: (703) 573-5500
Fax: (703) 573-3620

The enumeration date for this NPI number is 6/6/2006 and was last updated on 7/8/2007.

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
1174400000XSpecialist01011045316VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1B73475MEDICARE UPINVIRGINIA

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: 3/30/2025

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