Provider Demographics
NPI:1033821822
Name:GHAZANFARI, PARNIA (PA-C)
Entity Type:Individual
Prefix:
First Name:PARNIA
Middle Name:
Last Name:GHAZANFARI
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20142 DESERT FOREST DR
Mailing Address - Street 2:
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20147-3176
Mailing Address - Country:US
Mailing Address - Phone:571-228-3912
Mailing Address - Fax:
Practice Address - Street 1:20142 DESERT FOREST DR
Practice Address - Street 2:
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-3176
Practice Address - Country:US
Practice Address - Phone:571-228-3912
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-23
Last Update Date:2022-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant