Pardis Khosravi

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401417577 Issued in VA

Practice address

3800 Fairfax Dr Ste 6
Arlington, VA 22203-1703

Phone

(703) 249-4409

NPI assigned

Aug 4, 2021

Sex

Female

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

State licenses

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1760156558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1837 PEABODY DR",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220431035",
            "telephone_number": "571-331-6563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 FAIRFAX DR STE 6",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031703",
            "telephone_number": "703-249-4409"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "181 Comay Ter",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223048205",
            "country_code": "US",
            "telephone_number": "703-461-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13625 Office Pl",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221924230",
            "country_code": "US",
            "telephone_number": "703-670-7071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHOSRAVI",
        "first_name": "PARDIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-04",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401417577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samina Khawaja
• Sanam Kheirieh, D.D.S., M.S.
• Miraslava Khmurets, M.D.
• Razieh Khodabakhsh, DDS, MDS
• Ehsan Ethan Kholdebarin, M.D.
• Ossama Khozam
• Charanjit S Khurana, MD
• Brooke Kidane
• Maria Ximena Traa Kiely, MD MPH
• Caren Kieswetter, MD

• General Practice Dentistry in Arlington, VA
• Providers in Arlington, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.