Provider Demographics
NPI:1821011487
Name:STACK, AARON LEHI (MD)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:LEHI
Last Name:STACK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3289 WOODBURN ROAD
Mailing Address - Street 2:SUITE 060
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003
Mailing Address - Country:US
Mailing Address - Phone:703-698-0666
Mailing Address - Fax:703-573-6120
Practice Address - Street 1:3289 WOODBURN ROAD
Practice Address - Street 2:SUITE 060
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003
Practice Address - Country:US
Practice Address - Phone:703-698-0666
Practice Address - Fax:703-573-6120
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2024-08-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101236162207U00000X
MDD0060486207U00000X
DCMD303672085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207U00000XAllopathic & Osteopathic PhysiciansNuclear Medicine
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology