Provider Demographics
NPI:1245429901
Name:ROWHANI, BAHAR
Entity type:Individual
Prefix:
First Name:BAHAR
Middle Name:
Last Name:ROWHANI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:BAHAR
Other - Middle Name:
Other - Last Name:ROWHANI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:311 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22046-3300
Mailing Address - Country:US
Mailing Address - Phone:703-241-0666
Mailing Address - Fax:
Practice Address - Street 1:311 PARK AVENUE
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22046
Practice Address - Country:US
Practice Address - Phone:703-241-0666
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-18
Last Update Date:2007-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010085501223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice