Provider Demographics
NPI:1790678100
Name:REZAIE, ALAN AFSHIN
Entity type:Individual
Prefix:MR
First Name:ALAN
Middle Name:AFSHIN
Last Name:REZAIE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1640 BORO PL FL 4
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22102-3627
Mailing Address - Country:US
Mailing Address - Phone:202-937-9424
Mailing Address - Fax:202-992-1092
Practice Address - Street 1:8350 GREENSBORO DR UNIT 125
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22102-3551
Practice Address - Country:US
Practice Address - Phone:202-998-1085
Practice Address - Fax:202-992-1092
Is Sole Proprietor?:No
Enumeration Date:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant