Basic Information
Provider Information
NPI: 1679702369
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NIAROJI
FirstName: NARGES
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: DNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 10262 ARIZONA CIR
Address2:  
City: BETHESDA
State: MD
PostalCode: 208171242
CountryCode: US
TelephoneNumber: 7344742479
FaxNumber:  
Practice Location
Address1: 799 ROCKVILLE PIKE
Address2:  
City: ROCKVILLE
State: MD
PostalCode: 208521136
CountryCode: US
TelephoneNumber: 3013402683
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/02/2009
LastUpdateDate: 12/19/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LA2200X4704250787MIN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
363LF0000XRN1035154DCN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
363LG0600X4704250787MIN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
363LF0000XR235106MDY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

ID Information
IDTypeStateIssuerDescription
N9872001MDCDSOTHER


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