Provider Demographics
NPI:1669596599
Name:SARAJARI, SUSAN (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:
Last Name:SARAJARI
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:MRS
Other - First Name:SUSAN
Other - Middle Name:
Other - Last Name:SHARAYERA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:46 S. GLEBE ROAD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22204
Mailing Address - Country:US
Mailing Address - Phone:703-920-3890
Mailing Address - Fax:703-892-6037
Practice Address - Street 1:46 S. GLEBE ROAD
Practice Address - Street 2:SUITE 301
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22204
Practice Address - Country:US
Practice Address - Phone:703-920-3890
Practice Address - Fax:703-892-6037
Is Sole Proprietor?:No
Enumeration Date:2007-03-17
Last Update Date:2016-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA77393207VE0102X
VA0101246725207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology