Provider Demographics
NPI:1417036716
Name:GHAZVINI, NASSER (MD)
Entity Type:Individual
Prefix:DR
First Name:NASSER
Middle Name:
Last Name:GHAZVINI
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 1:7015 WILLIAMSBURG BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22213
Mailing Address - Country:US
Mailing Address - Phone:703-533-0909
Mailing Address - Fax:703-533-0075
Practice Address - Street 1:7015 WILLIAMSBURG BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22213
Practice Address - Country:US
Practice Address - Phone:703-533-0909
Practice Address - Fax:703-533-0075
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA55945207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine