Provider Demographics
NPI:1164726493
Name:PENTAGON HEALTH,LLC
Entity Type:Organization
Organization Name:PENTAGON HEALTH,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ZAHID
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMEED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:202-247-1538
Mailing Address - Street 1:1409 SOUTH FERN STREET
Mailing Address - Street 2:
Mailing Address - City:PENTAGON CITY
Mailing Address - State:VA
Mailing Address - Zip Code:22202
Mailing Address - Country:US
Mailing Address - Phone:202-247-1538
Mailing Address - Fax:202-247-1538
Practice Address - Street 1:1409 SOUTH FERN STREET
Practice Address - Street 2:
Practice Address - City:PENTAGON CITY
Practice Address - State:VA
Practice Address - Zip Code:22202
Practice Address - Country:US
Practice Address - Phone:202-247-1538
Practice Address - Fax:202-247-1538
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-30
Last Update Date:2011-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care