Provider Demographics
NPI:1063881704
Name:NABI SANTE INC
Entity type:Organization
Organization Name:NABI SANTE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:NABI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:202-368-4903
Mailing Address - Street 1:430 M ST SW
Mailing Address - Street 2:APT NO 105
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20024-2602
Mailing Address - Country:US
Mailing Address - Phone:202-368-4903
Mailing Address - Fax:202-863-1320
Practice Address - Street 1:1276 N WAYNE ST
Practice Address - Street 2:SUITE #506
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22201-5848
Practice Address - Country:US
Practice Address - Phone:202-368-4903
Practice Address - Fax:202-863-1320
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-23
Last Update Date:2015-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0062289207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty