REZA PISHDAD (NPI# 1477057396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477057396 |
| Entity Type | Individual |
| Full Name | REZA PISHDAD |
| Credential | MD |
| Practice Address |
11352 Aristotle Dr Apt 406 Fairfax VA 22030-0925 |
| Practice Telephone | 5715518720 |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2018-03-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | NJ | Student, Health Care |
| Street Address |
11352 ARISTOTLE DR APT 406 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030-0925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
| 1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
| 1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
| 1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
| 1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
| 1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
| 1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
| Find all providers in zip 22030 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003445016 | Maria Katherine Shafer | Student in an Organized Health Care Education/Training Program | 295 Scenic Rd, Fairfax, CA 94930-1525 | 2020-04-02 |
| 1235773482 | Kayla Lara | Student in an Organized Health Care Education/Training Program | 9902 Commonwealth Blvd, Fairfax, VA 22032-2407 | 2019-10-31 |
| 1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
| 1649833997 | Meghan Paige Robinson | Student in an Organized Health Care Education/Training Program | 9940 Main St Ste 201, Fairfax, VA 22031-3917 | 2019-04-22 |
| 1639638133 | Mikayla Louise Moyer | Student in an Organized Health Care Education/Training Program | 500 Fairfax Rd, Fairfax, IA 52228-9704 | 2019-03-14 |
| 1871062513 | Mazin Ibrahim Awad Abdelmageed | Student in an Organized Health Care Education/Training Program | 9290 Tower Side Dr Apt 110, Fairfax, VA 22031-6035 | 2018-11-23 |
| 1184127961 | Elizabeth Lucius | Student in an Organized Health Care Education/Training Program | 8301 Arlington Blvd Ste 302, Fairfax, VA 22031-2902 | 2018-03-17 |
| 1437549995 | Jeannie Ngoc-thao Tran | Student in an Organized Health Care Education/Training Program | 2905 District Ave Ste 400, Fairfax, VA 22031-2278 | 2015-02-04 |
| 1114326840 | Emily Mills | Student in an Organized Health Care Education/Training Program | 11240 Waples Mill Rd Ste 101, Fairfax, VA 22030-6078 | 2014-08-19 |
| 1598179921 | Ashley Oden | Student in an Organized Health Care Education/Training Program | 11240 Waples Mill Rd., Ste.101, Fairfax, VA 22030 | 2014-06-13 |
| Find all providers in FAIRFAX | ||||
Please comment or provide details below to improve the information on REZA PISHDAD.
| 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.