Provider Demographics
NPI:1235764119
Name:NIAZ, FARANAZ
Entity Type:Individual
Prefix:
First Name:FARANAZ
Middle Name:
Last Name:NIAZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2587 RAMBLING RD
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22181-5460
Mailing Address - Country:US
Mailing Address - Phone:703-389-9910
Mailing Address - Fax:
Practice Address - Street 1:2587 RAMBLING RD
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22181-5460
Practice Address - Country:US
Practice Address - Phone:703-389-9910
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-11
Last Update Date:2020-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide