
At Ultimate Tax & Accounting, we specialize in helping doctors, dentists, and healthcare professionals take control of their finances with clarity and confidence. We understand that running a medical practice comes with unique financial complexities from managing cash flow and overhead to navigating tax regulations and long-term growth planning.
Led by CEO and Founder Kian Ighani, a Certified Public Accountant in Virginia with over 28 years of experience, our firm combines deep financial expertise with a strong commitment to personalized service. Kian’s background in advanced accounting, tax strategy, and education allows us to deliver not just accurate numbers but meaningful financial direction tailored to healthcare practices.
We go beyond traditional bookkeeping. Our services are designed to support your entire financial ecosystem, including precise bookkeeping, proactive tax planning, and CFO-level advisory to help you increase profitability, optimize operations, and make informed business decisions. Whether you run a private practice, dental clinic, or multi-location healthcare business, we align our strategies with your goals.
At Ultimate Tax & Accounting, we believe your focus should be on patient care not financial stress. That’s why we provide reliable, strategic, and forward thinking solutions that help you grow with confidence while staying compliant in an ever-evolving regulatory environment.
What Our Clients Say
Ultimate Tax is an outstanding resource for any outsourced accounting needs. Whether it's bookkeeping, reporting, clean-up, compliance, tax planning, or strategic business planning — Ultimate Tax has always been a tremendous resource for me and my clients. Highly recommended.
Mr. Ighani and Ultimate Tax & Accounting LLC is the gold standard! Staff is very knowledgeable and experienced, and always answer all of my tax questions very quickly with very up-to-date info. I can confidently say there is no other CPA firm providing this same level of quality — beyond reasonable, adds a LOT of value and worth every penny!
It's clear to me that Mr. Ighani & the Ultimate Tax team want their clients to be prosperous, and they work hard to make sure you and/or your business get as many tax benefits and savings as legally possible. Taxes, bookkeeping, and accounting are no longer a headache when Ultimate Tax & Accounting LLC is on your side. THANK YOU ULTIMATE TAX!

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