Provider Demographics
NPI:1174286983
Name:NAZLI EMADI LLC
Entity Type:Organization
Organization Name:NAZLI EMADI LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIST
Authorized Official - Prefix:
Authorized Official - First Name:NAZLI
Authorized Official - Middle Name:
Authorized Official - Last Name:EMADI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-881-2106
Mailing Address - Street 1:PO BOX 5574
Mailing Address - Street 2:
Mailing Address - City:LUTHERVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21094-5574
Mailing Address - Country:US
Mailing Address - Phone:410-881-2106
Mailing Address - Fax:949-437-8503
Practice Address - Street 1:1501 SULGRAVE AVE STE 202
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21209-3650
Practice Address - Country:US
Practice Address - Phone:410-881-2106
Practice Address - Fax:949-437-8503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-19
Last Update Date:2023-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health