Provider Demographics
NPI:1598974917
Name:AHMAD, FARAH (DDS)
Entity Type:Individual
Prefix:
First Name:FARAH
Middle Name:
Last Name:AHMAD
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5645 COLUMBIA PIKE
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22041-2867
Mailing Address - Country:US
Mailing Address - Phone:703-379-1900
Mailing Address - Fax:703-671-6338
Practice Address - Street 1:5645 COLUMBIA PIKE
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22041-2867
Practice Address - Country:US
Practice Address - Phone:703-379-1900
Practice Address - Fax:703-671-6338
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010078851223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice