Provider Demographics
NPI:1083350383
Name:TAHERI, ELHAM (MD)
Entity Type:Individual
Prefix:
First Name:ELHAM
Middle Name:
Last Name:TAHERI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 FOLIAGE CIR
Mailing Address - Street 2:
Mailing Address - City:STUARTS DRAFT
Mailing Address - State:VA
Mailing Address - Zip Code:24477-3049
Mailing Address - Country:US
Mailing Address - Phone:202-258-6857
Mailing Address - Fax:
Practice Address - Street 1:UW RADIOLOGY DIVISION OF NUCLEAR MEDICINE 1959 NE PAC
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195-0001
Practice Address - Country:US
Practice Address - Phone:206-616-5781
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-10
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Multi-Specialty