1851665962 NPI number — ALI SAFAYAN MD PC

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 1851665962 NPI number — ALI SAFAYAN MD PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALI SAFAYAN MD PC
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:
1851665962
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/07/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4801 WISCONSIN AVE NW
Provider Second Line Business Mailing Address:
RESTORATIVE HEALTH
Provider Business Mailing Address City Name:
WASHINGTON
Provider Business Mailing Address State Name:
DC
Provider Business Mailing Address Postal Code:
20016
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
202-244-6661
Provider Business Mailing Address Fax Number:
202-244-1340

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4801 WISCONSIN AVE NW
Provider Second Line Business Practice Location Address:
RESTORATIVE HEALTH
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20016
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-244-6661
Provider Business Practice Location Address Fax Number:
202-244-1340
Provider Enumeration Date:
03/07/2012

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SAFAYAN
Authorized Official First Name:
ALI
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT OF CORPORATION
Authorized Official Telephone Number:
202-244-6661

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  MD18533 , 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)