Provider Demographics
NPI:1194539254
Name:BARZNJI, BAKHTIAR (MD)
Entity type:Individual
Prefix:
First Name:BAKHTIAR
Middle Name:
Last Name:BARZNJI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4367 WINDERMERE VIEW PL
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192-5538
Mailing Address - Country:US
Mailing Address - Phone:703-386-6920
Mailing Address - Fax:
Practice Address - Street 1:4367 WINDERMERE VIEW PL
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192-5538
Practice Address - Country:US
Practice Address - Phone:703-386-6920
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-06
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile