Most Relevant Information
Provider Data
| NPI Number: | 1003312729 |
| Provider Name: | BENJAMIN BEHNOUD NIA MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207N00000X |
| Specialty: | Dermatology |
| License Number: | 0101275514 |
Most Important Dates
| Enumeration Date: | 04/02/2018 |
| Last Updated: | 08/03/2022 |
Provider Practice Location
3700 JOSEPH SIEWICK DR STE 302
FAIRFAX
VA
220331739
Practice Location Phone/Fax
| Phone: | 7036482488 |
| Fax: | 7036482489 |
Provider Mailing Location
1221 MASSACHUSETTS AVE NW APT 1017
WASHINGTON
DC
200055331
Provider Mailing Phone/Fax
| Phone: | 3286363958 |
| Fax: |