Provider Demographics
NPI:1225748908
Name:AHMADIYAR CHIROPRACTIC
Entity Type:Organization
Organization Name:AHMADIYAR CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:AMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMADIYAR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:703-904-8528
Mailing Address - Street 1:1041 STERLING RD STE 106
Mailing Address - Street 2:
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20170-3841
Mailing Address - Country:US
Mailing Address - Phone:703-904-8528
Mailing Address - Fax:703-904-8529
Practice Address - Street 1:1041 STERLING RD STE 106
Practice Address - Street 2:
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20170-3841
Practice Address - Country:US
Practice Address - Phone:703-904-8528
Practice Address - Fax:703-904-8529
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-02
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty