DR. REZA KORDESTANI (NPI# 1720346026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720346026 |
| Entity Type | Individual |
| Full Name | DR. REZA KORDESTANI |
| Credential | M.D. |
| Practice Address |
4660 Kenmore Ave Ste 220 Alexandria VA 22304-1306 |
| Practice Telephone | 7038324000 |
| Practice Fax Number | 7038324001 |
| Mailing Telephone | 7038324000 |
| Mailing Fax Number | 7038324001 |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2019-12-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
MD046008 | DC | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5530 Wisconsin Ave Ste 1208, Chevy Chase, MD 208154301 | 3016549588 | 7032072002 |
| Street Address |
4660 KENMORE AVE STE 220 |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22304-1306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659319747 | Arun Chowla | Surgery | 4660 Kenmore Ave Ste 220, Alexandria, VA 22304-1306 | 2006-06-02 |
| 1609213198 | Lindsay Beth Jones | Surgery | 4660 Kenmore Ave Ste 220, Alexandria, VA 22304-1306 | 2013-05-24 |
| 1740578921 | Tzujane J Chen | Plastic Surgery | 4660 Kenmore Ave Ste 220, Alexandria, VA 22304-1306 | 2011-07-21 |
| 1134393986 | Azra Abida Ashraf | Emergency Medicine | 4660 Kenmore Ave Ste 220, Alexandria, VA 22304-1306 | 2008-04-14 |
| 1356534481 | Nova Surgery LLC | Surgery | 4660 Kenmore Ave Ste 220, Alexandria, VA 22304-1306 | 2007-08-22 |
| 1386764504 | Clarisa C. Hammer | Surgery | 4660 Kenmore Ave Ste 220, Alexandria, VA 22304-1306 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407489768 | Anthony Michael Frato | Counselor | 205 S Whiting St #601, Alexandria, VA 22304 | 2020-02-14 |
| 1245885805 | Personal Touch Personal Care Providers, LLC | In Home Supportive Care | 4241-d8 Duke Street, Alexandria, VA 22304 | 2019-08-09 |
| 1336658772 | Jade F. Hillery | Doula | 5240 Duke St #310, Alexandria, VA 22304 | 2017-09-28 |
| 1447784731 | Aymara Matos | Behavioral Analyst | 5426 Richenbacher Ave Apt 100, Alexandria, VA 22304 | 2017-04-13 |
| 1659827871 | Tesfaye A Hailemariam Dds PC | Dentist | 5764 Dow Ave, Alexandria, VA 22304 | 2016-08-28 |
| 1912302605 | Alexandria Health Department | Clinic/Center | 1200 North Howard, Alexandria, VA 22304 | 2014-10-24 |
| 1497157663 | Aminata Jalloh | Registered Nurse | 101 South Whiting St, Alexandria, VA 22304 | 2014-09-19 |
| 1386075133 | Carla Renee Riley | Registered Nurse | 4320 Raleigh Ave, Apt 204, Alexandria, VA 22304 | 2013-12-04 |
| 1700223500 | Landmark Dental Care | Dentist | 101 S. Whiting St., Suite 100, Alexandria, VA 22304 | 2013-06-03 |
| 1114266954 | Stella M Meusch | Physician Assistant | 4230 Seminary Rd, Alexandria, VA 22304 | 2013-02-13 |
| Find all providers in zip 22304 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568482339 | Herbert Stephen Maguire | Surgery | 501 Medical Center Dr Ste 1b, Alexandria, LA 71301-8124 | 2006-07-21 |
| 1336111491 | Susan K Buenaventura | Surgery | 5425 Duke Street, Alexandria, VA 22304 | 2006-02-03 |
| 1609213198 | Lindsay Beth Jones | Surgery | 4660 Kenmore Ave Ste 220, Alexandria, VA 22304-1306 | 2013-05-24 |
| 1851525919 | Alexander Marino Sailon | Surgery | 4660 Kenmore Ave, Suite 220, Alexandria, VA 22304-1313 | 2009-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134619166 | Aesthetic Center for Plastic Surgery | Surgery | 6845 Elm St Ste 708, Mc Lean, VA 22101-3851 | 2018-05-15 |
| 1720504244 | Dominion Surgical Specialists, LLC | Surgery | 2755 Hartland Rd Ste 300, Falls Church, VA 22043-3545 | 2017-08-16 |
| 1215465646 | Dominion Plastic Surgery LLC | Surgery | 2755 Hartland Rd Ste 204, Falls Church, VA 22043-3544 | 2017-05-30 |
| 1609018928 | Nicholas R Galardi | Surgery | 300 Medical Pkwy Ste 316, Chesapeake, VA 23320-4985 | 2009-04-01 |
| 1285835488 | Julia Stevenson | Surgery | 300 Medical Pkwy Ste 300, Chesapeake, VA 23320-4985 | 2007-05-29 |
| 1952516734 | Richard Gordon Lewis Jr. | Surgery | 2331a Robious Station Cir, Midlothian, VA 23113-2124 | 2007-05-14 |
| 1184768939 | Roanoke Plastic Surgery Plc | Surgery | 1118 First Street Sw, Roanoke, VA 24016-4702 | 2007-02-16 |
| 1851402515 | Nadia P Blanchet | Surgery | 9210 Forest Hill Avenue, Suite B1, Richmond, VA 23235-6880 | 2006-08-31 |
| 1255449872 | Magee-rosenblum Plastic Surgery, Inc | Surgery | 5818 Harbour View Blvd Ste 200, Suffolk, VA 23435-3315 | 2006-08-25 |
| 1235158189 | Balvant Parashram Arora | Surgery | 1101 Sam Perry Blvd., Suite 121, Fredericksburg, VA 22401-4467 | 2006-07-19 |
| Find all providers with the same taxonomy | ||||
| City | ALEXANDRIA |
| Zip Code | 22304 |
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| 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.