Provider Demographics
NPI:1942091954
Name:PAIGHAM, AHMAD
Entity type:Individual
Prefix:
First Name:AHMAD
Middle Name:
Last Name:PAIGHAM
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1778 MOULTRIE TER NE
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20176-6573
Mailing Address - Country:US
Mailing Address - Phone:703-814-5700
Mailing Address - Fax:
Practice Address - Street 1:1778 MOULTRIE TER NE
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176-6573
Practice Address - Country:US
Practice Address - Phone:703-814-5700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-16
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
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