Provider Demographics
NPI:1295027407
Name:NIMA S MOAINIE PLLC
Entity Type:Organization
Organization Name:NIMA S MOAINIE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NIMA
Authorized Official - Middle Name:S
Authorized Official - Last Name:MOAINIE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:202-362-4545
Mailing Address - Street 1:4201 CONNECTICUT AVE NW
Mailing Address - Street 2:SUITE 211
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20008-1158
Mailing Address - Country:US
Mailing Address - Phone:202-362-4545
Mailing Address - Fax:202-244-8028
Practice Address - Street 1:4201 CONNECTICUT AVE NW
Practice Address - Street 2:SUITE 211
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20008-1158
Practice Address - Country:US
Practice Address - Phone:202-362-4545
Practice Address - Fax:202-244-8028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-05
Last Update Date:2011-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD039349261QS0132X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS0132XAmbulatory Health Care FacilitiesClinic/CenterOphthalmologic Surgery