NPIMap

Organization Active NPI

Masoom M Kandahari MD PC

Doing business as Cancer and Blood Specialists of Northern VA PC

  • Hematology & Oncology Physician
  • Woodbridge, VA
National Provider Identifier
1851458426
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
MASOOM M KANDAHARI MD PC
Doing business as
Cancer and Blood Specialists of Northern VA PC
Practice address
2280 Opitz Blvd
Ste 220
Woodbridge, VA 22191-3362
Phone
(703) 590-8300
Fax
(703) 590-8301
NPI assigned
Jan 3, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Masoom M Kandahari, MD
Title
Owner
Phone
(703) 590-8300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X NU Primary

Addresses

Primary practice location

2280 Opitz Blvd
Ste 220
Woodbridge, VA 22191-3362

Mailing address

2280 Opitz Blvd
Ste 220
Woodbridge, VA 22191-3362
Phone (703) 590-8300

Other identifiers 3

IdentifierTypeStateIssuer
1467448100OtherVAKANDAHARI INDIVIDUAL NPI
61950001OtherVAKANDAHARI BCBS
1760415269OtherVACAFFEY INDIVIDUAL NPI

Other names 1

  • Cancer and Blood Specialists of Northern VA PC Doing business as

National Provider Directory

National Provider Directory

Locations

2280 Opitz Blvd
Ste 220
Woodbridge, VA 22191
Phone (703) 590-8300

Practitioners & affiliated clinicians

Practitioners 5

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": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851458426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2280 OPITZ BLVD",
            "address_2": "STE 220",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913362",
            "telephone_number": "703-590-8300",
            "fax_number": "703-590-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2280 OPITZ BLVD",
            "address_2": "STE 220",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913362",
            "telephone_number": "703-590-8300",
            "fax_number": "703-590-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASOOM M KANDAHARI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KANDAHARI",
        "authorized_official_first_name": "MASOOM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-590-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANDAHARI INDIVIDUAL NPI",
            "identifier": "1467448100",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANDAHARI BCBS",
            "identifier": "61950001",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAFFEY INDIVIDUAL NPI",
            "identifier": "1760415269",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cancer and Blood Specialists of Northern VA PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.