Provider Demographics
NPI:1154530251
Name:ZAHEDI, NAZI (DDS)
Entity type:Individual
Prefix:DR
First Name:NAZI
Middle Name:
Last Name:ZAHEDI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:NAZY
Other - Middle Name:
Other - Last Name:ZAHEDI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:1209 COLONIAL RD
Mailing Address - Street 2:
Mailing Address - City:MCLEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-2915
Mailing Address - Country:US
Mailing Address - Phone:703-847-0510
Mailing Address - Fax:
Practice Address - Street 1:2501 N GLEBE RD
Practice Address - Street 2:SUITE 200
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22207-3558
Practice Address - Country:US
Practice Address - Phone:703-524-7100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014112001223G0001X
MD108681223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice