Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 01685 | MD |
NPI | 1073962270 |
---|---|
Provider Name | Dr. Farzad Saleh |
First Address | Stephenson, VA 22656-1876 |
Second Address | Oxon Hill, MD 20745-3168 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2016 |
Last Update Date | 23/04/2020 |