Dadgar Gynecology Center LLC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

0101249705 Issued in VA

Legal business name

DADGAR GYNECOLOGY CENTER LLC

Practice address

8206 Leesburg Pike
Suite 301
Vienna, VA 22182-2614

Phone

(703) 883-7242

Fax

(240) 912-4471

NPI assigned

Nov 18, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Shabnam Dadgar, MD

Title

Owner

Phone

(703) 883-7242

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1479427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479686400000",
    "number": "1700329067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8206 LEESBURG PIKE",
            "address_2": "SUITE 301",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822614",
            "telephone_number": "703-883-7242",
            "fax_number": "240-912-4471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8206 LEESBURG PIKE",
            "address_2": "SUITE 301",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822614",
            "telephone_number": "703-883-7242",
            "fax_number": "240-912-4471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DADGAR GYNECOLOGY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-18",
        "last_updated": "2016-11-21",
        "status": "A",
        "authorized_official_last_name": "DADGAR",
        "authorized_official_first_name": "SHABNAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-883-7242",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "VA",
            "license": "0101249705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Daniel Poth, O.D. and Associates, P.C.

• Gynecology Physician in Vienna, VA
• Providers in Vienna, VA by specialty
• Gynecology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; 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.