Provider Demographics
NPI:1003700543
Name:ROUHI, ZOMORROD ZOE (DDS)
Entity type:Individual
Prefix:DR
First Name:ZOMORROD
Middle Name:ZOE
Last Name:ROUHI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 PENNSYLVANIA AVE NW APT 902
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20004-2647
Mailing Address - Country:US
Mailing Address - Phone:202-465-2143
Mailing Address - Fax:
Practice Address - Street 1:2021 K ST NW STE 820
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-1003
Practice Address - Country:US
Practice Address - Phone:202-545-7774
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCDEN20015621223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice