Provider Demographics
NPI:1639483951
Name:HAMIDI, HOOMAN (DC)
Entity Type:Individual
Prefix:DR
First Name:HOOMAN
Middle Name:
Last Name:HAMIDI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2778 WASHINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22201-1945
Mailing Address - Country:US
Mailing Address - Phone:571-765-2324
Mailing Address - Fax:571-989-4223
Practice Address - Street 1:2778 WASHINGTON BLVD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22201
Practice Address - Country:US
Practice Address - Phone:571-765-2324
Practice Address - Fax:571-989-4223
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-28
Last Update Date:2018-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556813111N00000X
CA32900111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor