Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RG0100X | Gastroenterologist | E5096 | AR |
Y | 207RG0100X | Gastroenterologist | MD042844 | DC |
NPI | 1003941378 |
---|---|
Provider Name | Dr. Farshad Aduli |
First Address | Washington, DC 20060-0001 |
Second Address | Washington, DC 20060-7101 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2007 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
164183001 | (05) | AR |
I72823 | (02) | AR |
P00387236 | RAILROAD MEDICARE (01) | AR |