1740288125 NPI number — DR. HRANT SAML SEMERJIAN M.D.

Table of content: DR. HRANT SAML SEMERJIAN M.D. (NPI 1740288125)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1740288125 NPI number — DR. HRANT SAML SEMERJIAN M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SEMERJIAN
Provider First Name:
HRANT
Provider Middle Name:
SAML
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SEMERJIAN
Provider Other First Name:
HRANT
Provider Other Middle Name:
SAML
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.D.
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1740288125
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/03/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2300 M ST NW
Provider Second Line Business Mailing Address:
SUITE 210
Provider Business Mailing Address City Name:
WASHINGTON
Provider Business Mailing Address State Name:
DC
Provider Business Mailing Address Postal Code:
20037-1434
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
202-466-5700
Provider Business Mailing Address Fax Number:
202-466-3118

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2440 M ST NW
Provider Second Line Business Practice Location Address:
SUITE 418
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20037-1404
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-466-5700
Provider Business Practice Location Address Fax Number:
202-466-3118
Provider Enumeration Date:
07/11/2005

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208800000X , with the licence number:  MD5357 , registered in the state of DC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 09D0209184 . This is a "CLIA ID#" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".
  • Identifier: 3491 . This is a "CAREFIRST PROVIDER ID#" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".
  • Identifier: 52-1255753 . This is a "TAX ID#" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".