Provider Demographics
NPI:1245506203
Name:NIMA S MOAINIE PLLC
Entity type:Organization
Organization Name:NIMA S MOAINIE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NIMA
Authorized Official - Middle Name:S
Authorized Official - Last Name:MOAINIE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:443-621-7471
Mailing Address - Street 1:9801 GEORGIA AVE
Mailing Address - Street 2:SUITE 340
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-5276
Mailing Address - Country:US
Mailing Address - Phone:301-593-0500
Mailing Address - Fax:301-681-0727
Practice Address - Street 1:9801 GEORGIA AVE
Practice Address - Street 2:SUITE 340
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902-5276
Practice Address - Country:US
Practice Address - Phone:301-593-0500
Practice Address - Fax:301-681-0727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-23
Last Update Date:2012-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0072186207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty