Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Plastic Surgery and Dermatology Associates, LLC

Organization Dermatology Physician · NPI 1235395179

Plastic Surgery and Dermatology Associates, LLC provides Dermatology Physician services in Fairfax, Virginia. Licensed in Virginia. Registered with an NPI since 2008.

Licensed in
VA
In the registry since
2008
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8501 Arlington Blvd Ste 310
Fairfax, VA 22031-4625
Phone: (703) 645-0077
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 0101243338 (VA)
Dermatology Physician Taxonomy 207N00000X · Licence 0101243725 (VA)

Record details

NPI number1235395179
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shabnam Shahabadi — Co-Manager · (703) 645-0077
NPI enumeratedJuly 30, 2008
Last updated in NPPESNovember 23, 2020
Certification dateNovember 23, 2020
Mailing addressPo Box 8310, Roanoke, VA 24014-0310

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