Provider Demographics
NPI:1467691097
Name:VAHABZADEH-MONSHIE, JAVAD (MD)
Entity Type:Individual
Prefix:DR
First Name:JAVAD
Middle Name:
Last Name:VAHABZADEH-MONSHIE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 FARM HAVEN CT
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-4231
Mailing Address - Country:US
Mailing Address - Phone:202-230-4522
Mailing Address - Fax:
Practice Address - Street 1:NO 7, SECOND TOVA AVENUE
Practice Address - Street 2:IMAM AVENUE
Practice Address - City:ARDEBIL
Practice Address - State:ARDEBIL
Practice Address - Zip Code:56136
Practice Address - Country:IR
Practice Address - Phone:0098451-223-9732
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-04
Last Update Date:2009-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD0377882084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry