Provider Demographics
NPI:1326596479
Name:WASHINGTON EAR ASSOCIATES PLLC
Entity Type:Organization
Organization Name:WASHINGTON EAR ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ROYA
Authorized Official - Middle Name:
Authorized Official - Last Name:AZADARMAKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:267-317-6227
Mailing Address - Street 1:19450 DEERFIELD AVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20176-6820
Mailing Address - Country:US
Mailing Address - Phone:267-317-6227
Mailing Address - Fax:
Practice Address - Street 1:1093 BONNIE VIEW DR
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:VA
Practice Address - Zip Code:22066-1821
Practice Address - Country:US
Practice Address - Phone:267-317-6227
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-19
Last Update Date:2017-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101254181207YX0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YX0901XAllopathic & Osteopathic PhysiciansOtolaryngologyOtology & NeurotologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1912161977OtherPROVIDER NPI