1578892469 NPI number — NATIONAL INSTITUTE OF HEALTH

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1578892469 NPI number — NATIONAL INSTITUTE OF HEALTH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NATIONAL INSTITUTE OF HEALTH
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1578892469
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/23/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10101 GROSVENOR PL APT 1017
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ROCKVILLE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20852-4675
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
314-435-2552
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10 CENTER DRIVE MSC 1613
Provider Second Line Business Practice Location Address:
BLDG 10CRC, RM 6-3940
Provider Business Practice Location Address City Name:
BETHESDA
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20892-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-451-0660
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/23/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SAFAR ZADEH
Authorized Official First Name:
ELIKA
Authorized Official Middle Name:
Authorized Official Title or Position:
CLINICAL ENDOCRINOLOGY FELLOW
Authorized Official Telephone Number:
314-435-2552

Provider Taxonomy Codes

  • Taxonomy code: 284300000X , with the licence number:  D0069837 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)