Provider Demographics
NPI:1386939940
Name:KIANA, SANAZ (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SANAZ
Middle Name:
Last Name:KIANA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2311 PIMMIT DR APT 709E
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22043-2834
Mailing Address - Country:US
Mailing Address - Phone:571-282-3902
Mailing Address - Fax:
Practice Address - Street 1:6600 RICHMOND HWY
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22306-6601
Practice Address - Country:US
Practice Address - Phone:703-253-0019
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-12
Last Update Date:2011-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202206315183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist