Kourosh Dibadj is a Nephrology in Fairfax, Virginia. Kourosh Dibadj practices all healthcare services and medical treatments related to Nephrology. The NPI Number for Kourosh Dibadj is 1487716593. The last update date is 2016-08-11.
Kourosh Dibadj's current location address is 13135 Lee Jackson Memorial Hwy, Fairfax, Virginia. You can contact this provider via phone number 7039610488 and fax number 7039610480. The mailing address for Kourosh Dibadj is 13135 Lee Jackson Memorial Hwy, Fairfax, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kourosh Dibadj |
|---|---|
| Address | 13135 Lee Jackson Memorial Hwy, Fairfax, Virginia |
| Phone Number | 7039610488 |
| Fax Number | 7039610480 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1487716593 |
|---|---|
| Provider Enumeration Date | 2006-12-14 |
| Last Updated Date | 2016-08-11 |
Provider Mailing Address Detail
| Address | 13135 Lee Jackson Memorial Hwy |
|---|---|
| City | Fairfax |
| State | Virginia (VA) |
| Post Code | 220331907 |
| Phone Number | 7039610488 |
| Fax Number | 7039610480 |
Provider's Primary Taxonomy Detail
| Speciality | Nephrology |
|---|---|
| Taxonomy | 207Rn0300X |
| Licence No | 101241367 |
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Definition: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1487716593 | VA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Kourosh Dibadj by the Centers for Medicare & Medicaid Services?
The Kourosh Dibadj has been assigned the NPI (National Provider Identifier) 1487716593 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Kourosh Dibadj's facilities are geographically located?
The facilities of Kourosh Dibadj are physically situated at the following location: 13135 Lee Jackson Memorial Hwy, Fairfax, VA, 220331907.
What is the Kourosh Dibadj's area of specialization and corresponding taxonomy classification?
The Kourosh Dibadj's specialty field is Nephrology, and it falls under the taxonomy code 207Rn0300X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1487716593 to Kourosh Dibadj?
The Centers for Medicare & Medicaid Services assigned the 1487716593 to Kourosh Dibadj on 2006-12-14.
As of what date was the information regarding Kourosh Dibadj, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kourosh Dibadj, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-08-11.