Provider Demographics
NPI:1235200155
Name:ARABSHAHI, ALIDAD (MD)
Entity Type:Individual
Prefix:
First Name:ALIDAD
Middle Name:
Last Name:ARABSHAHI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1504
Mailing Address - Street 2:
Mailing Address - City:LORTON
Mailing Address - State:VA
Mailing Address - Zip Code:22199-1504
Mailing Address - Country:US
Mailing Address - Phone:703-209-3208
Mailing Address - Fax:703-619-5283
Practice Address - Street 1:1450 EMERSON AVE APT 402
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-5751
Practice Address - Country:US
Practice Address - Phone:703-988-7562
Practice Address - Fax:703-660-4803
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101234863207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
061724796OtherFIRST HEALTH
VA010095735Medicaid
3529057OtherAETNA HMO
6754313OtherCIGNA
677169OtherNCPPO
002463116OtherUNITED HEALTH CARE
213793OtherOPTIMUM CHOICE
138060OtherANTHEM HMO GRP 13805
7889561OtherAETNA PPO
138060OtherANTHEM PPO GRP 13805
297392OtherAMERIGROUP
J9630001OtherCAREFIRST
061724796OtherPHCS
2132793OtherMAMSI ALLIANCE
061724796OtherTRICARE STANDARD
3529057OtherAETNA HMO
297392OtherAMERIGROUP
VA010095735Medicaid