Provider Demographics
NPI: | 1578892469 |
---|---|
Name: | NATIONAL INSTITUTE OF HEALTH |
Entity type: | Organization |
Organization Name: | NATIONAL INSTITUTE OF HEALTH |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | CLINICAL ENDOCRINOLOGY FELLOW |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | ELIKA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | SAFAR ZADEH |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MD |
Authorized Official - Phone: | 314-435-2552 |
Mailing Address - Street 1: | 10101 GROSVENOR PL APT 1017 |
Mailing Address - Street 2: | |
Mailing Address - City: | ROCKVILLE |
Mailing Address - State: | MD |
Mailing Address - Zip Code: | 20852-4675 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 314-435-2552 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 10 CENTER DRIVE MSC 1613 |
Practice Address - Street 2: | BLDG 10CRC, RM 6-3940 |
Practice Address - City: | BETHESDA |
Practice Address - State: | MD |
Practice Address - Zip Code: | 20892-0001 |
Practice Address - Country: | US |
Practice Address - Phone: | 301-451-0660 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2009-12-23 |
Last Update Date: | 2009-12-23 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
MD | D0069837 | 284300000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 284300000X | Hospitals | Special Hospital |