Provider Demographics
NPI:1700044690
Name:AHMADI, NAHID (DDS)
Entity Type:Individual
Prefix:DR
First Name:NAHID
Middle Name:
Last Name:AHMADI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1712 EYE I STREET NW
Mailing Address - Street 2:SUIT 500
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20006-3754
Mailing Address - Country:US
Mailing Address - Phone:202-223-2747
Mailing Address - Fax:202-223-1502
Practice Address - Street 1:1712 EYE I STREET NW
Practice Address - Street 2:SUIT 500
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-3754
Practice Address - Country:US
Practice Address - Phone:202-223-2747
Practice Address - Fax:202-223-1502
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-28
Last Update Date:2008-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC4039122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist