OrganizationActive
Skin and Laser Surgery Center
NPI 1720277932 · MOHS-Micrographic Surgery Physician · Vienna, VA
Provider details
- NPI number
- 1720277932
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Amir Bajoghli, President(703) 492-4140
- License
- 0101053252 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8130 Boone Blvd
Suite 340
Vienna, VA 22182-2666
Phone: (703) 492-4140
Fax: (703) 490-6443
Street-level locationGet directions
Mailing address
Po Box 2010
Merrifield, VA 22116-2010
Registry dates
- Enumerated
- 2007-10-24
- Last updated
- 2008-09-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.