Basic Information
Provider Information | |||||||||
NPI: | 1386686715 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | NAJAM | ||||||||
FirstName: | FARZAD | ||||||||
MiddleName: |   | ||||||||
NamePrefix: | DR. | ||||||||
NameSuffix: |   | ||||||||
Credential: | M.D. | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | PO BOX 60 | ||||||||
Address2: |   | ||||||||
City: | GERMANTOWN | ||||||||
State: | MD | ||||||||
PostalCode: | 208750060 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 3016019600 | ||||||||
FaxNumber: | 3016013771 | ||||||||
Practice Location | |||||||||
Address1: | 2175 K ST NW | ||||||||
Address2: | SUITE 300 | ||||||||
City: | WASHINGTON | ||||||||
State: | DC | ||||||||
PostalCode: | 200371831 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 2027758600 | ||||||||
FaxNumber: | 2027751599 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 06/11/2006 | ||||||||
LastUpdateDate: | 03/17/2008 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | M | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208G00000X | MD32257 | DC | Y |   | Allopathic & Osteopathic Physicians | Thoracic Surgery (Cardiothoracic Vascular Surgery) |   |
ID Information
ID | Type | State | Issuer | Description | 2128354 | 01 | DC | MAMSI LIFE & HEALTH | OTHER | J449-0006 | 01 | DC | CAREFIRST BLUESHIELD | OTHER | 64046002 | 01 | MD | CAREFIRST BLUESHIELD | OTHER | P00165952 | 01 | DC | RAILROAD MEDICARE | OTHER | 195225 | 01 | VA | ANTHEM | OTHER |