Koochekzadeh, Azadeh
Koochekzadeh, Azadeh is an individual health care provider with primary practice located at 4660 Kenmore Ave Ste 500, Alexandria VA 22304. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Koochekzadeh, Azadeh can be contacted via phone (703) 212-6600.Contact Information
Primary practice address
4660 Kenmore Ave Ste 500
Alexandria VA 22304
Phone: (703) 212-6600
Fax: (703) 212-6606
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 101230323 | Virginia |
Profile Details
| NPI number | 1609845429 |
|---|---|
| LBN Legal business name | Koochekzadeh, Azadeh |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2006 |
| Last updated | Apr 11th, 2013 - about 12 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 | 1609845429 | NPPES |
| Virginia | MEDICAID | 6792898 |
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