Minoo Akhavan Malayeri, DDS
Individual provider Active NPI General Practice Dentistry · Washington, DC
NPI 1144501677 · NPPES record last updated Dec 28, 2017
Key facts
- NPI
- 1144501677
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DEN1001051 (DC)
- Practice address
- 1613 Harvard St NW Ste 108
Washington, DC 20009-3710 - Phone
- (202) 462-5227
- Fax
- (202) 462-7445
- NPI assigned
- Aug 29, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN1001051 | DC | MD | General Practice Dentistry |
| 0401413266 | VA | MD | General Practice Dentistry |
| 15039 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sharmin Dental Clinic, P.C. | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 15039 | MD | |
| General Practice Dentistry | 1223G0001X | 0401413266 | VA | |
| General Practice Dentistry | 1223G0001X | DEN1001051 | DC | Yes |
Addresses
Primary practice location
1613 Harvard St NW Ste 108
Washington, DC 20009-3710
Mailing address
1613 Harvard St NW Ste 108
Washington, DC 20009-3710
Phone (202) 462-5227
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All providers in Washington, DC · General Practice Dentistry in District of Columbia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 28, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.