Provider Demographics
NPI:1922427525
Name:AZAD, NAUF LATEF (DO, MSC)
Entity Type:Individual
Prefix:
First Name:NAUF
Middle Name:LATEF
Last Name:AZAD
Suffix:
Gender:F
Credentials:DO, MSC
Other - Prefix:
Other - First Name:NAUF
Other - Middle Name:
Other - Last Name:LATEF
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO, MSC
Mailing Address - Street 1:3800 RESERVOIR RD NW
Mailing Address - Street 2:DEPT OF PSYCHIATRY
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20007
Mailing Address - Country:US
Mailing Address - Phone:201-281-3499
Mailing Address - Fax:
Practice Address - Street 1:3800 RESERVOIR RD NW
Practice Address - Street 2:DEPT OF PSYCHIATRY
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007-2113
Practice Address - Country:US
Practice Address - Phone:201-281-3499
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-10
Last Update Date:2019-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC19224275252084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry