person
Shahram Yazdani, MD
Cardiovascular Disease Physician in Manassas, Virginia
NPI 1174566731

Shahram Yazdani is a Cardiovascular Disease Physician based in Manassas, VA and is specialized in Cardiovascular Disease. Shahram Yazdani practices in Manassas, VA and has the professional credentials of MD. The NPI Number for Shahram Yazdani is 1174566731 and holds a License No. 101226688 (Virginia).

The current practice location address for Shahram Yazdani is 8100 Ashton Ave, Manassas, VA and can be reached out via phone at 703-331-0300 and via fax at 703-331-0300.

Location: 8100 Ashton Ave, Manassas, VA, 20109-5688
person
Provider Profile Details
NPI Number
1174566731
Provider Name
Shahram Yazdani
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
8100 Ashton Ave, Manassas, VA, 20109-5688
Phone Number
703-331-0300
Fax Number
703-331-0300
Provider Enumeration Date
06/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
481437 01 VA OPT/MDIPA/MAMSI
5843278 05 VA
70670002 01 VA CAREFIRST PROVIDER NUMBER
2346100 01 VA AETNA HMO NUMBER
2501042 01 VA UNITEDHEALTH CARE NUMBER
5292653 01 VA AETNA PPO NUMBER
10029295 05 VA
541984220 01 VA TAX ID VIRGINIA CARDIO AS
216818 01 VA ANTHEM PROVIDER NUMBER
562289471 01 VT TAX ID MANASSAS HEART
J0600001 01 VA CAREFIRST
10390896 01 VA CAQH
1274643 01 VA CIGNA HMO PROVIDER NUMBER
461213 01 VA ANTHEM FOR MANASSAS HEART
institution
Provider Business Practice Location Address Details
Address
8100 Ashton Ave
City
State
Zip
20109-5688
Phone Number
703-331-0300
Fax Number
703-331-0300
person
Provider Business Mailing Address Details
Address
8100 Ashton Ave
City
State
Zip
20109-5688
Phone Number
703-331-0300
Fax Number
703-331-0300
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
License No.
101226688 (Virginia)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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