Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223P0221X | Pediatric Dentist | 0401412530 | VA |
Y | 1223P0221X | Pediatric Dentist | 14345 | MD |
N | 1223P0221X | Pediatric Dentist | DEN1000816 | DC |
NPI | 1003041328 |
---|---|
Provider Name | Dr. Siamak Sy Majidi |
First Address | Washington, DC 20007-2834 |
Second Address | Washington, DC 20007-2834 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2009 |
Last Update Date | 28/01/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
023907100 | (05) | MD |