Provider Demographics
NPI:1992152748
Name:ZOHREH ABYANEH LLC
Entity type:Organization
Organization Name:ZOHREH ABYANEH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:ZOHREH
Authorized Official - Middle Name:
Authorized Official - Last Name:NIKKHAH ABYANEH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:571-992-8005
Mailing Address - Street 1:2026 OPITZ BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22191-3332
Mailing Address - Country:US
Mailing Address - Phone:571-992-8005
Mailing Address - Fax:703-494-3958
Practice Address - Street 1:2026 OPITZ BLVD STE A
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22191-3332
Practice Address - Country:US
Practice Address - Phone:571-992-8005
Practice Address - Fax:703-494-3958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-23
Last Update Date:2020-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty