Provider Demographics
NPI:1295348720
Name:VIRGINIA PLASTIC SURGERY INSTITUTE
Entity type:Organization
Organization Name:VIRGINIA PLASTIC SURGERY INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALI
Authorized Official - Middle Name:Z
Authorized Official - Last Name:PASHAPOUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-566-1990
Mailing Address - Street 1:1016 N HIGHLAND ST STE 131B
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22201-2112
Mailing Address - Country:US
Mailing Address - Phone:703-566-1990
Mailing Address - Fax:703-997-7310
Practice Address - Street 1:1016 N HIGHLAND ST STE 131B
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22201-2112
Practice Address - Country:US
Practice Address - Phone:703-566-1990
Practice Address - Fax:703-997-7310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-25
Last Update Date:2020-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty