Provider Demographics
NPI:1922347921
Name:PAJOUHESH, ALI (DC)
Entity Type:Individual
Prefix:DR
First Name:ALI
Middle Name:
Last Name:PAJOUHESH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4173 VERNOY HILLS RD
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22033-4395
Mailing Address - Country:US
Mailing Address - Phone:202-440-2939
Mailing Address - Fax:
Practice Address - Street 1:2735 HARTLAND RD
Practice Address - Street 2:SUITE 100
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22043-3542
Practice Address - Country:US
Practice Address - Phone:202-440-2939
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-11
Last Update Date:2013-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104557003111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor