Provider Demographics
NPI:1558336081
Name:AKBARI, STEPHANIE R (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:R
Last Name:AKBARI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:8613 LEE HWY # 200N
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-2171
Mailing Address - Country:US
Mailing Address - Phone:703-208-3155
Mailing Address - Fax:703-280-9596
Practice Address - Street 1:8613 ROUTE 29 STE 200N
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-2171
Practice Address - Country:US
Practice Address - Phone:703-208-3120
Practice Address - Fax:703-280-9596
Is Sole Proprietor?:No
Enumeration Date:2006-02-20
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101228190208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1558336081Medicaid
00B112C41Medicare PIN