Provider Demographics
NPI:1497061378
Name:TASLIM-SARAVI, ELNAZ (OD)
Entity Type:Individual
Prefix:DR
First Name:ELNAZ
Middle Name:
Last Name:TASLIM-SARAVI
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1720 CONNECTICUT AVE NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-1103
Mailing Address - Country:US
Mailing Address - Phone:202-332-0300
Mailing Address - Fax:
Practice Address - Street 1:1720 CONNECTICUT AVE NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-1103
Practice Address - Country:US
Practice Address - Phone:202-332-0300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-30
Last Update Date:2016-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCOP1000217152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist