Kamal Jaroudi, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

0101244980 Issued in VA

Practice address

410 Pine St SE
Suite 320
Vienna, VA 22180-4861

Phone

(703) 938-1421

Fax

(703) 938-1424

NPI assigned

Apr 2, 2009

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391731200000",
    "number": "1093957235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2961A HUNTER MILL RD",
            "address_2": "# 276",
            "city": "OAKTON",
            "state": "VA",
            "postal_code": "221241704",
            "telephone_number": "703-394-5324",
            "fax_number": "703-394-5285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 PINE ST SE",
            "address_2": "SUITE 320",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804861",
            "telephone_number": "703-938-1421",
            "fax_number": "703-938-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAROUDI",
        "first_name": "KAMAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-02",
        "last_updated": "2014-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101244980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vijayendra Rao Jaligam, M.D
• James F Selander DDS PC (Tysons Corner Dentists)
• Alanna Elise James, MD
• Claire James
• Corshay Lyndai James
• Jason Farr Favagehi DDC PC (Tysons Corner Dental Art Center)
• Afshin Javan, M.D.
• Mamta Shrestha Javier, FNP
• Bruce Walter Jay, D.D.S.
• James Pierce Jenkins, MD

• Specialist in Vienna, VA
• Providers in Vienna, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.