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 is a Dermatology Physician 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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