DR. ALI A DAMAVANDY


Address: 1365 Beverly Rd, 2nd Floor, Mc Lean, VA 22101-3624
Phone: 7037905850

DR. ALI A DAMAVANDY (NPI# 1376836668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376836668
Entity Type Individual
Full Name DR. ALI A DAMAVANDY
Credential M.D.
Practice Address 1365 Beverly Rd
2nd Floor
Mc Lean
VA 22101-3624
Mailing Address 10405 Chelsea Manors Ct
Great Falls
VA 22066-3232
Practice Telephone 7037905850
Practice Fax Number 7037901028
Mailing Telephone 7037980610
Enumeration Date 2011-05-19
Last Update Date 2016-08-03
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ND0101X Dermatology
Specialization: MOHS-Micrographic Surgery
0101260257 VA Allopathic & Osteopathic Physicians
N 207ND0101X Dermatology
Specialization: MOHS-Micrographic Surgery
MD454457 PA Allopathic & Osteopathic Physicians
N 207NS0135X Dermatology
Specialization: Procedural Dermatology
MD454457 PA Allopathic & Osteopathic Physicians

Office Location

Street Address 1365 BEVERLY RD
2ND FLOOR
City MC LEAN
State VA
Zip Code 22101-3624

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962877431 Susan Elizabeth Jackson Nurse Practitioner 1365 Beverly Rd, 2nd Floor, Mc Lean, VA 22101-3624 2015-12-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104452630 Kyle Rose Counselor 1360 Beverly Road, Suite 200, Mclean, VA 22101 2020-03-16
1760036206 Chesapeake Eye Care & Laser Center LLC Ophthalmology 6845 Elm Street Ste 250, Mclean, VA 22101 2019-08-01
1326691759 Vansay Vorrasane Physical Therapist 1735 Kirby Road, Mclean, VA 22101 2019-07-24
1912464025 Veronica Martinez Occupational Therapist 1735 Kirby Rd., Mclean, VA 22101 2019-02-25
1114409547 Katia Julio Salomao Behavior Technician 1651 Old Meadow Rd Suite 600, Mclean, VA 22101 2018-09-01
1871086157 Steeple Run Associates, LLC In Home Supportive Care 1499 Chain Bridge Road, Suite 203-a, Mclean, VA 22101 2018-06-11
1982110565 Jennifer Gallagher Munroe Counselor 1485 Chain Bridge Rd Ste 300, Mc Lean, VA 22101 2017-12-19
1497272553 Alireza Aram Dentist 8421 Broad Street, Ste 1319, Mclean, VA 22101 2017-08-29
1104347962 Louise Parry Social Worker 1491 Chain Bridge Road #300, Weaver and Associates, Mclean, VA 22101 2017-07-03
1366979361 Anita Kathleen Bryce Social Worker 1364 Beverly Road, #304, Mclean, VA 22101 2017-05-22
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Taxonomy Information

Taxonomy Code 207ND0101X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology
Specialization MOHS-Micrographic Surgery

Taxonomy Definition

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275586190 Amir Bajoghli Dermatology 1359 Beverly Rd, Suite 200, Mc Lean, VA 22101-3666 2006-05-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1578129599 Metro Mohs Surgery Center, LLC Dermatology 5501 Backlick Rd Ste 120, Springfield, VA 22151-3940 2019-05-15
1699927129 Harry Leslie Parlette IIi Dermatology 125 Terrell Rd E, Charlottesville, VA 22901-2166 2008-10-15
1578722260 Soonyou Kwon Dermatology 8100 Boone Blvd Ste 300, Vienna, VA 22182-2642 2008-06-06
1457483869 Martha L Wilson Md Pa Dermatology 104 E Stuart Dr, Galax, VA 24333-2119 2007-03-12
1669561791 Advanced Dermatology of Charlottesville, Plc Dermatology 600 Peter Jefferson Parkway Suite 350, Charlottesville, VA 22911 2006-10-12
1063524593 Oyster Point Dermatology Inc Dermatology 11844 Rock Landing Dr Ste B, Newport News, VA 23606-4202 2006-08-31
1568441897 Dermatologic Surgery of Central Virginia Plc Dermatology 902 E Jefferson St, Suite 201, Charlottesville, VA 22902-5397 2006-01-13
1003440355 Absolute Dermatology P.C. Dermatology 5207 Hickory Park Dr Ste A, Glen Allen, VA 23059-2624 2020-02-26
1053944652 Forefront Dermatology, S.c. Dermatology 101 Candlewood Ct, Lynchburg, VA 24502-2654 2020-02-21
1891169975 Forefront Dermatology, S.c. Dermatology 8301 Old Courthouse Rd, Vienna, VA 22182 2015-11-30
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Competitor

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City MC LEAN
Zip Code 22101

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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