Individual provider Active NPI

Farahnaz Behrooziesfahani

  • Acupuncturist
  • Gaithersburg, MD
National Provider Identifier
1720723653
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
U02914 Issued in MD
Practice address
501 N Frederick Ave Ste 216
Gaithersburg, MD 20877-2545
Phone
(240) 422-0756
NPI assigned
May 4, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X U02914 MD Primary

Addresses

Primary practice location

501 N Frederick Ave Ste 216
Gaithersburg, MD 20877-2545

Mailing address

11534 Sullnick Way
Gaithersburg, MD 20878-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
U02914MDMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Avicenna Acupuncture &Herbal Medicine Acupuncturist Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1651622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1720723653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11534 SULLNICK WAY",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208781000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N FREDERICK AVE STE 216",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772545",
            "telephone_number": "240-422-0756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEHROOZIESFAHANI",
        "first_name": "FARAHNAZ",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-04",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U02914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.