Healthcare Provider Details

I. General information

NPI: 1942942123
Provider Name (Legal Business Name): SIRANLI & ASSOCIATES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2022
Last Update Date: 04/08/2022
Certification Date: 04/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1234 19TH ST NW STE 704
WASHINGTON DC
20036-2441
US

IV. Provider business mailing address

1234 19TH ST NW STE 704
WASHINGTON DC
20036-2441
US

V. Phone/Fax

Practice location:
  • Phone: 202-296-3330
  • Fax: 202-467-4427
Mailing address:
  • Phone: 202-296-3330
  • Fax: 202-467-4427

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number
License Number State

VIII. Authorized Official

Name: SAMIRA RAHIMI
Title or Position: OFFICE MANAGER
Credential:
Phone: 202-296-3330