Provider Demographics
NPI:1508656570
Name:HEPI NDASI, NASSER GOLTRAND
Entity type:Individual
Prefix:
First Name:NASSER
Middle Name:GOLTRAND
Last Name:HEPI NDASI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9414 HORIZON RUN RD
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY VILLAGE
Mailing Address - State:MD
Mailing Address - Zip Code:20886-0492
Mailing Address - Country:US
Mailing Address - Phone:770-873-0011
Mailing Address - Fax:
Practice Address - Street 1:1355 E BROAD AVE STE C
Practice Address - Street 2:
Practice Address - City:ROCKINGHAM
Practice Address - State:NC
Practice Address - Zip Code:28379-4926
Practice Address - Country:US
Practice Address - Phone:910-817-0111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program