Provider Demographics
NPI:1891505335
Name:NESHATI, AMIN
Entity type:Individual
Prefix:
First Name:AMIN
Middle Name:
Last Name:NESHATI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5524 CALLANDER DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22151-1402
Mailing Address - Country:US
Mailing Address - Phone:703-244-6198
Mailing Address - Fax:
Practice Address - Street 1:5524 CALLANDER DR
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22151-1402
Practice Address - Country:US
Practice Address - Phone:703-244-6198
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-08
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter