Provider Demographics
NPI:1740866979
Name:MAHDANIAN, ARTIN A (MD, FRCPC)
Entity type:Individual
Prefix:DR
First Name:ARTIN
Middle Name:A
Last Name:MAHDANIAN
Suffix:
Gender:
Credentials:MD, FRCPC
Other - Prefix:DR
Other - First Name:ARTIN
Other - Middle Name:ABOLFAZL
Other - Last Name:MAHDANIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1301 RHODE ISLAND AVE NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20005-3700
Mailing Address - Country:US
Mailing Address - Phone:202-599-0027
Mailing Address - Fax:202-892-1644
Practice Address - Street 1:1301 RHODE ISLAND AVE NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20005-3700
Practice Address - Country:US
Practice Address - Phone:202-599-0027
Practice Address - Fax:202-892-1644
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-18
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD20000472084P0800X, 2084P0800X
MDD00917322084P0800X, 2084P0015X
VA01012845602084P0800X, 2084P0015X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
No2084P0015XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychosomatic Medicine