1295836799 NPI number — TIRDAD FATTAHI

Table of content: TIRDAD FATTAHI (NPI 1295836799)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1295836799 NPI number — TIRDAD FATTAHI

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FATTAHI
Provider First Name:
TIRDAD
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
M

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:
1295836799
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/24/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4840 MACARTHUR BLVD NW
Provider Second Line Business Mailing Address:
SUITE 101
Provider Business Mailing Address City Name:
WASHINGTON
Provider Business Mailing Address State Name:
DC
Provider Business Mailing Address Postal Code:
20007-1565
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
202-338-7499
Provider Business Mailing Address Fax Number:
202-338-8745

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4840 MACARTHUR BLVD., NW
Provider Second Line Business Practice Location Address:
SUITE 101
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20007-2550
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-338-7499
Provider Business Practice Location Address Fax Number:
202-338-8745
Provider Enumeration Date:
09/26/2006

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: 1223G0001X , with the licence number:  4810 , 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)