Provider Demographics
NPI:1497899140
Name:AFKHAMI, AMIR ARSALAN (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:AMIR
Middle Name:ARSALAN
Last Name:AFKHAMI
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:833 BLACKS HILL RD
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:VA
Mailing Address - Zip Code:22066-1301
Mailing Address - Country:US
Mailing Address - Phone:646-280-7011
Mailing Address - Fax:
Practice Address - Street 1:833 BLACKS HILL RD
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:VA
Practice Address - Zip Code:22066-1301
Practice Address - Country:US
Practice Address - Phone:646-280-7011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD0366692084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry