Organization Active NPI

Mid Atlantic Plastic Surgeons LLC

  • Plastic Surgery Physician
  • Annandale, VA
National Provider Identifier
1790201481
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
MID ATLANTIC PLASTIC SURGEONS LLC
Practice address
3301 Woodburn Road, Suite 202
Annandale, VA 22003
Phone
(703) 208-0783
Fax
(703) 208-1004
NPI assigned
Aug 15, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Khalique Zahir, MDNPI 1720073463
Title
Owner
Phone
(703) 208-0783

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

3301 Woodburn Road, Suite 202
Annandale, VA 22003

Mailing address

3301 Woodburn Rd Ste 202
Annandale, VA 22003-7301
Phone (703) 208-0783

National Provider Directory

National Provider Directory

Locations

3301 Woodburn Rd
Ste 202
Annandale, VA 22003
Phone (703) 208-0783

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1790201481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 WOODBURN RD STE 202",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220037301",
            "telephone_number": "703-208-0783",
            "fax_number": "703-208-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 WOODBURN ROAD, SUITE 202",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "22003",
            "telephone_number": "703-208-0783",
            "fax_number": "703-208-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID ATLANTIC PLASTIC SURGEONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ZAHIR",
        "authorized_official_first_name": "KHALIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-208-0783",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, VA

Sources for this page

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