Provider Demographics
NPI:1538215843
Name:RAD, ARIEL N (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:ARIEL
Middle Name:N
Last Name:RAD
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 15TH ST NW
Mailing Address - Street 2:STE 100
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20005-5002
Mailing Address - Country:US
Mailing Address - Phone:202-517-7299
Mailing Address - Fax:
Practice Address - Street 1:1101 15TH ST NW
Practice Address - Street 2:STE 100
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20005-5002
Practice Address - Country:US
Practice Address - Phone:202-517-7299
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-27
Last Update Date:2019-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist