Provider Demographics
NPI:1265634869
Name:NABAVIAN, SADAF (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SADAF
Middle Name:
Last Name:NABAVIAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MRS
Other - First Name:SADAF
Other - Middle Name:
Other - Last Name:NABAVIAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:18744 MARTINS LANDING DR
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-2555
Mailing Address - Country:US
Mailing Address - Phone:301-528-0653
Mailing Address - Fax:
Practice Address - Street 1:10903 NEW HAMPSHIRE
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20993-0002
Practice Address - Country:US
Practice Address - Phone:301-796-2777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD14776183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist