Shahrzad, Kayvan

Shahrzad, Kayvan is an individual health care provider with primary practice located at 9842 Corsini Ct , Vienna VA 22182-3016. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Shahrzad, Kayvan can be contacted via phone (217) 540-5100.

Contact Information

Primary practice address
9842 Corsini Ct Vienna VA 22182-3016
Phone: (217) 540-5100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 0401415346 Virginia

Profile Details

NPI number 1457896318
LBN Legal business name Shahrzad, Kayvan
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2017
Last updated Jan 3rd, 2017 - about 9 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.

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