Wellformed AI

NPI 1578701249 · live from the CMS NPI Registry

Afrooz Ardestani, MD

Internal Medicine, Cardiovascular Disease in Fairfax, VA. National Provider Identifier 1578701249, active.

NPI record

NPI1578701249 Type 1 · individual
StatusActive
Primary specialtyInternal Medicine, Cardiovascular Disease 207RC0000X
Practice location3580 Joseph Siewick Dr Ste 401, Fairfax, VA 22033
Practice phone703-391-4140
EnumeratedFebruary 3, 2009
Last updatedJuly 16, 2021
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Internal Medicine207R00000X047642 (CT)
Student in an Organized Health Care Education/Training Program390200000X— (CT)
Internal Medicine, Cardiovascular Disease primary207RC0000X0101256998 (VA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.