Amg Plastic Surgery LLC

NPI #1366195257 in Herndon, Virginia

Provider Information

NPI Number: 1366195257
Entity Type: Organization
Organization Name: Amg Plastic Surgery LLC
Primary Specialty: Plastic Surgery
Enumeration Date: Jan 31, 2022
Last Updated: Jan 31, 2022

Practice Location

Address: 13454 SUNRISE VALLEY DR STE 130
City: Herndon
State: Virginia
ZIP Code: 20171-3278
Phone: (703) 239-3190

Authorized Official

Name: AMIR M GHAZNAVI, MD
Title: OWNER
Phone: (703) 239-3190

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Plastic Surgery	208200000X	Primary

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