MR. MASOOM M KANDAHARI (NPI# 1467448100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467448100 |
| Entity Type | Individual |
| Full Name | MR. MASOOM M KANDAHARI |
| Credential | MD FACP |
| Practice Address |
2280 Opitz Blvd #220 Woodbridge VA 22191-3362 |
| Practice Telephone | 7035510505 |
| Practice Fax Number | 7035510050 |
| Mailing Telephone | 7035510505 |
| Mailing Fax Number | 7035510050 |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
0101040044 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CIGNA | 3722047001 | 01 | |
| ANTHEM (ARLINGTON) | 143524 | 01 | |
| AETNA | 481116 | 01 | |
| VA | 6098673 | 05 | |
| RAILROAD MEDICARE | P00017437 | 01 | |
| ANTHEM (WOODBRIDGE) | 067857 | 01 | |
| UNITED HEALTHCARE | 3600124 | 01 | |
| MAMSI OPT CHOICE ALLIANCE | 21384 | 01 | |
| BC/BS NCA | 61950001 | 01 |
| Street Address |
2280 OPITZ BLVD #220 |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22191-3362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487653648 | Amy Fordree Varias | Occupational Therapist | 2280 Opitz Blvd, Suite 120, Woodbridge, VA 22191-3362 | 2005-07-20 |
| 1407369374 | Nicole Theresa Layman | Registered Nurse | 2280 Opitz Blvd, Woodbridge, VA 22191-3362 | 2017-11-14 |
| 1235501719 | Lashawna Heflin | Nurse Practitioner | 2280 Opitz Blvd, Woodbridge, VA 22191-3362 | 2015-10-23 |
| 1710304027 | Sentara Medical Group | Surgery | 2280 Opitz Blvd, Ste 110, Woodbridge, VA 22191-3362 | 2014-03-25 |
| 1134559479 | Christina Ruth Parks | Nurse Anesthetist, Certified Registered | 2280 Opitz Blvd, Woodbridge, VA 22191 | 2013-11-23 |
| 1356773048 | Houshang Makipour, Md PC | Specialist | 2280 Opitz Blvd, Suite 200, Woodbridge, VA 22191-3362 | 2013-08-05 |
| 1053680785 | Andre F Feltren | Occupational Therapist | 2280 Opitz Blvd, Suite 120, Woodbridge, VA 22191-3362 | 2011-12-27 |
| 1790053965 | Sentara Medical Group | Internal Medicine | 2280 Opitz Blvd, Ste 250, Woodbridge, VA 22191-3362 | 2011-12-02 |
| 1205118254 | Sentara Medical Group | Surgery | 2280 Opitz Blvd, Ste 320, Woodbridge, VA 22191-3362 | 2011-09-15 |
| 1447530803 | Commonwealth Audiology LLC | Hearing Aid Equipment | 2280 Opitz Blvd, Suite 340, Woodbridge, VA 22191-3362 | 2011-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861021131 | Bailey Orthodontics Pllc | Dentist | 16446 Navigation Drive, Woodbridge, VA 22191 | 2020-04-07 |
| 1417589326 | Meseret Abate | Registered Nurse | 15608 William Bayliss Ct, Woodbridge, VA 22191 | 2020-02-08 |
| 1992279327 | Velocity Urgent Care, LLC | Clinic/Center | 16422 Navigation Dr, Woodbridge, VA 22191 | 2019-01-18 |
| 1821577263 | Maame Gyasiwah Banahene | Registered Nurse | 1812 Featherstone Rd, Woodbridge, VA 22191 | 2018-08-07 |
| 1235617507 | Yaw P. Baidoo | Nutritionist | 14960 Potomac Heights Pl Apt 503, Woodbridge, VA 22191 | 2018-07-30 |
| 1477048452 | Anahita Abazari | Optometrist | 14901 Potomac Town Pl, Suite 120, Woodbridge, VA 22191 | 2018-06-22 |
| 1619490661 | Misti S Gray | Nurse Practitioner | 2296 Optiz Blvd, Suite 440, About Women Ob/gyn, Woodbridge, VA 22191 | 2017-07-21 |
| 1568991974 | Patrice Whilby | Behavior Technician | 2264 York Drive Apt 302, Woodbridge, VA 22191 | 2017-06-08 |
| 1508395245 | Maria Theresa Lee | Registered Nurse | 2028b Opitz Blvd # 22191, Woodbridge, VA 22191 | 2017-06-07 |
| 1861943763 | A1 Home Care, LLC | Home Health | 13928 Jefferson Davis Hwy, Ste # C, Woodbridge, VA 22191 | 2016-10-17 |
| Find all providers in zip 22191 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073549648 | Medical Oncology & Hematology, PC | Internal Medicine | 19 Lunar Drive, Woodbridge, CT 06525 | 2006-06-24 |
| 1407802671 | Hamed Khosravi | Internal Medicine | 2079 Daniel Stuart Sq, Woodbridge, VA 22191-3317 | 2006-05-26 |
| 1811331085 | Navid Mokhtari Amirmajdi | Internal Medicine | 2079 Daniel Stuart Sq, Woodbridge, VA 22191-3317 | 2013-04-18 |
| 1417260472 | Ghana Kang | Internal Medicine | 2079 Daniel Stuart Sq, Woodbridge, VA 22191-3317 | 2010-07-20 |
| 1770760704 | Geoffrey D Moorer | Internal Medicine | 2280 Opitz Blvd, Suite 300, Woodbridge, VA 22191-3362 | 2008-01-22 |
| 1639379308 | Mitul Gandhi | Internal Medicine | 2280 Opitz Blvd, Suite 300, Woodbridge, VA 22191-3362 | 2007-07-20 |
| 1912064585 | Northern Virginia Hematology Oncology Associates PC | Internal Medicine | 2079 Daniel Stuart Sq, Woodbridge, VA 22191-3317 | 2007-01-03 |
| 1851458426 | Masoom M Kandahari Md PC | Internal Medicine | 2280 Opitz Blvd, Ste 220, Woodbridge, VA 22191-3362 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093339764 | Loudoun Medical Group . P.c | Internal Medicine | 19500 Sandridge Way Ste 400, Leesburg, VA 20176-3691 | 2020-05-29 |
| 1316566839 | Stephen Smith Kennedy | Internal Medicine | 1108 Doe Mountain Rd, Goodview, VA 24095-2496 | 2020-04-14 |
| 1740640804 | Virginia Hematology Oncology Physicians Inc | Internal Medicine | 2556 Fox Hound Ct, Herndon, VA 20171-2996 | 2016-03-02 |
| 1326423260 | John J Welch | Internal Medicine | 2040 Antananarivo Pl, Dulles, VA 20189-2039 | 2015-07-21 |
| 1144637786 | Toshihisa Satta | Internal Medicine | 1250 E Marshall St # 980509, Richmond, VA 23298-5051 | 2014-07-15 |
| 1366860496 | Krista Isaac | Internal Medicine | 1215 Lee St - Box Number 800716, Charlottesville, VA 22908-0001 | 2014-04-05 |
| 1760800858 | Sonia Esparza Hepburn | Internal Medicine | 500 Sentara Cir Ste 203, Williamsburg, VA 23188-5727 | 2014-04-04 |
| 1326485202 | Kristopher Joel Hansen | Internal Medicine | 2600 Research Center Dr Ste A, Blacksburg, VA 24060 | 2013-05-31 |
| 1528326329 | Rahul Singh | Internal Medicine | 8101 Hinson Farm Rd Ste 211, Alexandria, VA 22306 | 2012-04-30 |
| 1821363219 | Oliver Alabaster | Internal Medicine | 4318 Adrienne Dr, Alexandria, VA 22309-2803 | 2012-03-19 |
| Find all providers with the same taxonomy | ||||
| City | WOODBRIDGE |
| Zip Code | 22191 |
Please comment or provide details below to improve the information on MR. MASOOM M KANDAHARI.
| 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.