Goudarzi, Behnam M
Goudarzi, Behnam M is an individual health care provider with primary practice located at 2028 Opitz Blvd Ste B , Woodbridge VA 22191-3326. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Goudarzi, Behnam M can be contacted via phone (703) 497-0212.Contact Information
Primary practice address
2028 Opitz Blvd Ste B
Woodbridge VA 22191-3326
Phone: (703) 497-0212
Fax: (703) 497-0421
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 0101239238 | Virginia |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 0101238239 | Virginia |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 0101239238 | Virginia |
Profile Details
| NPI number | 1629073994 |
|---|---|
| LBN Legal business name | Goudarzi, Behnam M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2005 |
| Last updated | Aug 16th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629073994 | NPPES |
| Virginia | MEDICAID | 010277710 |
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