Healthcare Provider Details

I. General information

NPI: 1720495666
Provider Name (Legal Business Name): SOHA SADEGHIKHAH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2014
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2150 PENNSYLVANIA AVE NW FL 7
WASHINGTON DC
20037-3201
US

IV. Provider business mailing address

2735 OLIVE ST NW APT 1
WASHINGTON DC
20007-3373
US

V. Phone/Fax

Practice location:
  • Phone: 202-741-2700
  • Fax:
Mailing address:
  • Phone: 646-376-8549
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084V0102X
TaxonomyVascular Neurology Physician
License Number0101268187
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number125065993
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberMD047487
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: