Healthcare Provider Details

I. General information

NPI: 1376617068
Provider Name (Legal Business Name): MILLENNIUM SCAN INTERNATIONAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2006
Last Update Date: 08/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2440 M ST NW SUITE 203
WASHINGTON DC
20037-1404
US

IV. Provider business mailing address

2440 M ST NW SUITE 203
WASHINGTON DC
20037-1404
US

V. Phone/Fax

Practice location:
  • Phone: 202-775-9710
  • Fax: 202-775-9720
Mailing address:
  • Phone: 202-775-5111
  • Fax: 202-775-9720

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: SALIM AZIZ
Title or Position: OWNER
Credential:
Phone: 202-775-5111