Provider Demographics
NPI:1588781975
Name:BADIEE, BEHYAR DAVID (DO)
Entity type:Individual
Prefix:DR
First Name:BEHYAR
Middle Name:DAVID
Last Name:BADIEE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:42746 FALLS VIEW SQ
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20176-6850
Mailing Address - Country:US
Mailing Address - Phone:703-443-9326
Mailing Address - Fax:
Practice Address - Street 1:1340 OLD CHAIN BRIDGE RD
Practice Address - Street 2:
Practice Address - City:MCLEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-3955
Practice Address - Country:US
Practice Address - Phone:703-893-2273
Practice Address - Fax:703-893-4559
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0102201167207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G76475Medicare UPIN