Provider Demographics
NPI:1518959980
Name:DASH, NARIMAN (MD)
Entity type:Individual
Prefix:DR
First Name:NARIMAN
Middle Name:
Last Name:DASH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:NARIMAN
Other - Middle Name:
Other - Last Name:DASHTIZAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1708 FALL HILL AVE
Mailing Address - Street 2:SUITE100
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-3511
Mailing Address - Country:US
Mailing Address - Phone:540-371-1226
Mailing Address - Fax:540-371-2049
Practice Address - Street 1:1708 FALL HILL AVE
Practice Address - Street 2:SUITE100
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-3511
Practice Address - Country:US
Practice Address - Phone:540-371-1226
Practice Address - Fax:540-371-2049
Is Sole Proprietor?:No
Enumeration Date:2005-08-22
Last Update Date:2007-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101228335207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
003993M38Medicare ID - Type Unspecified
VA00X253E03Medicare PIN
I02787Medicare UPIN