Basic Information
Provider Information
NPI: 1740505114
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZANDIEH
FirstName: ARASH
MiddleName: R
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3800 RESERVOIR RD. NW
Address2: MGUH DEPT. OF RADIOLOGY, CG201
City: WASHINGTON
State: DC
PostalCode: 20007
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 3800 RESERVOIR RD NW
Address2:  
City: WASHINGTON
State: DC
PostalCode: 200072113
CountryCode: US
TelephoneNumber: 2024443450
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/29/2010
LastUpdateDate: 08/07/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0202XD0083582MDN Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
2085R0202XMD045018DCY Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology

No ID Information.


Home