Provider Demographics
NPI:1629787809
Name:AFSHAR BROTHERS INC.
Entity type:Organization
Organization Name:AFSHAR BROTHERS INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:AFSHAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-869-1468
Mailing Address - Street 1:13655 DULLES TECHNOLOGY DR STE 120
Mailing Address - Street 2:
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20171-4634
Mailing Address - Country:US
Mailing Address - Phone:715-665-4025
Mailing Address - Fax:703-890-2554
Practice Address - Street 1:13655 DULLES TECHNOLOGY DR STE 120
Practice Address - Street 2:
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20171-4634
Practice Address - Country:US
Practice Address - Phone:571-665-4025
Practice Address - Fax:703-890-2554
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-16
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Multi-Specialty