| Doctor Name: | DR. KAMAL JAROUDI |
| NPI Number: | 1093957235 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 0101244980 |
| Business Practice Address: | 410 Pine St Se Suite 320 Vienna, VA - 221804861 |
| Business Phone Number: | 7039381421 |
| Business Fax Number: | 7039381424 |
| Mailing Address: | 2961a Hunter Mill Rd, # 276 OAKTON |
| State: | VA |
| Postal Code: | 221241704 |
| Phone Number: | 7033945324 |
| Fax Number: | 7033945285 |
| NPI Enumeration Date: | 04/02/2009 |
| NPI Last Update Date: | 02/07/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 0101244980 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |