Provider Demographics
NPI:1154330561
Name:GHANEI, ARMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:ARMAN
Middle Name:
Last Name:GHANEI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2251 PIMMIT DR
Mailing Address - Street 2:# 1205
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22043-2811
Mailing Address - Country:US
Mailing Address - Phone:703-778-0400
Mailing Address - Fax:703-778-0444
Practice Address - Street 1:12449 HEDGES RUN DR
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192-1715
Practice Address - Country:US
Practice Address - Phone:703-494-6160
Practice Address - Fax:703-494-5558
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA01011054545207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAG4071Medicare UPIN