Provider Demographics
NPI:1871870212
Name:TEHRANI, NAUDINE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:NAUDINE
Middle Name:
Last Name:TEHRANI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3100 14TH ST NW
Mailing Address - Street 2:SUITE 201
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-2415
Mailing Address - Country:US
Mailing Address - Phone:202-777-3774
Mailing Address - Fax:202-777-3784
Practice Address - Street 1:3100 14TH ST NW
Practice Address - Street 2:SUITE 201
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2415
Practice Address - Country:US
Practice Address - Phone:202-777-3774
Practice Address - Fax:202-777-3784
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-14
Last Update Date:2011-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPH100000900183500000X
VA0202210030183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist