Provider Demographics
NPI:1215905286
Name:DAR, AJAY (MD)
Entity type:Individual
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First Name:AJAY
Middle Name:
Last Name:DAR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3040 WILLIAMS DR STE 100
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-4618
Mailing Address - Country:US
Mailing Address - Phone:571-350-8400
Mailing Address - Fax:703-940-8692
Practice Address - Street 1:44035 RIVERSIDE PKWY STE 300
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176-8260
Practice Address - Country:US
Practice Address - Phone:703-208-3155
Practice Address - Fax:703-724-7503
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2024-07-01
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Provider Licenses
StateLicense IDTaxonomies
VA0101231668207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA541795091OtherONE HEALTH PLAN
VA231788OtherSOUTHERN HEALTH
VA0460402OtherCIGNA HMO
VA466399OtherTRIGON/ANTHEM
VA500617-3351765OtherAETNA HMO
VA541795091OtherFX CTY COMM HEALTH
VA615136OtherNCPPO
VA1215905286Medicaid
VA500617-5556519OtherAETNA PPO
VA541795091OtherFIRST HEALTH
VA541795091OtherPHCS POS/PPO
VA0870-0019OtherBCBS NCA/CARE FIRST
VA2110876OtherMAMSOI/OP CHOICE/ALLIANCE
VA236852OtherKAISER
VA541795091OtherTRICARE
VA541795091OtherONE HEALTH PLAN
VA0460402OtherCIGNA HMO
VA0870-0019OtherBCBS NCA/CARE FIRST
VAG30146Medicare UPIN