Provider Demographics
NPI:1538559646
Name:NADJMABADI, NOUSHEEN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:NOUSHEEN
Middle Name:
Last Name:NADJMABADI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14415 MARINE DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20905-5924
Mailing Address - Country:US
Mailing Address - Phone:240-893-4582
Mailing Address - Fax:
Practice Address - Street 1:14415 MARINE DR
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20905-5924
Practice Address - Country:US
Practice Address - Phone:240-893-4582
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-27
Last Update Date:2015-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD21707183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist