Provider Demographics
NPI:1952444937
Name:ZADEH, HUGH B (DMD, MD)
Entity Type:Individual
Prefix:
First Name:HUGH
Middle Name:B
Last Name:ZADEH
Suffix:
Gender:M
Credentials:DMD, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1333 DASHER LN
Mailing Address - Street 2:
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20190-3940
Mailing Address - Country:US
Mailing Address - Phone:703-537-8443
Mailing Address - Fax:410-706-0891
Practice Address - Street 1:7611 LITTLE RIVER TURNPIKE
Practice Address - Street 2:
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003
Practice Address - Country:US
Practice Address - Phone:703-256-2307
Practice Address - Fax:703-256-3230
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program