Kandahari, Masoom M
Kandahari, Masoom M is an individual health care provider with primary practice located at 2280 Opitz Blvd Ste 340 , Woodbridge VA 22191-3362. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Kandahari, Masoom M can be contacted via phone (703) 590-8300.Contact Information
Primary practice address
2280 Opitz Blvd Ste 340
Woodbridge VA 22191-3362
Phone: (703) 590-8300
Fax: (703) 590-8301
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 0101040044 | Virginia |
Profile Details
| NPI number | 1467448100 |
|---|---|
| LBN Legal business name | Kandahari, Masoom M |
| Credentials | MD FACP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2005 |
| Last updated | Aug 8th, 2023 - about 3 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 | 1467448100 | NPPES |
| Other | 21384 | MAMSI OPT CHOICE ALLIANCE | |
| Other | 481116 | MAMSI OPT CHOICE ALLIANCE | |
| MEDICAID | 6098673 | MAMSI OPT CHOICE ALLIANCE | |
| Other | 3600124 | MAMSI OPT CHOICE ALLIANCE | |
| Other | 143524 | MAMSI OPT CHOICE ALLIANCE | |
| Other | 61950001 | MAMSI OPT CHOICE ALLIANCE | |
| Other | 3722047001 | MAMSI OPT CHOICE ALLIANCE | |
| Other | P00017437 | MAMSI OPT CHOICE ALLIANCE | |
| Other | 067857 | MAMSI OPT CHOICE ALLIANCE |
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