Provider Demographics
NPI:1548747298
Name:RAZMJOU, PARISSA (CRNA)
Entity Type:Individual
Prefix:
First Name:PARISSA
Middle Name:
Last Name:RAZMJOU
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:PARISSA
Other - Middle Name:
Other - Last Name:SAFIZADEH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:1210 R ST NW APT B11
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-4127
Mailing Address - Country:US
Mailing Address - Phone:508-404-7595
Mailing Address - Fax:
Practice Address - Street 1:5255 LOUGHBORO RD NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-2633
Practice Address - Country:US
Practice Address - Phone:202-537-4000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-25
Last Update Date:2021-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN1037793367500000X
MDR247350367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered