Provider Demographics
NPI:1003941378
Name:ADULI, FARSHAD (MD)
Entity Type:Individual
Prefix:DR
First Name:FARSHAD
Middle Name:
Last Name:ADULI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2041 GEORGIA AVE NW FACULTY PRACTICE PLAN SUITE 6101
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20060-0001
Mailing Address - Country:US
Mailing Address - Phone:202-865-6679
Mailing Address - Fax:202-865-3138
Practice Address - Street 1:2041 GEORGIA AVE NW FACULTY PRACTICE PLAN SUITE 5100
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20060-7101
Practice Address - Country:US
Practice Address - Phone:202-865-6625
Practice Address - Fax:202-865-3833
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE5096207RG0100X
DCMD042844207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARP00387236OtherRAILROAD MEDICARE
AR164183001Medicaid
ARI72823Medicare UPIN