Healthcare Provider Details

I. General information

NPI: 1225383409
Provider Name (Legal Business Name): NERVE BONE & JOINT INSTITUTE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2012
Last Update Date: 12/26/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 WASHINGTON CIR NW STE 207208
WASHINGTON DC
20037-2356
US

IV. Provider business mailing address

3 WASHINGTON CIR NW STE 207208
WASHINGTON DC
20037-2356
US

V. Phone/Fax

Practice location:
  • Phone: 202-955-6001
  • Fax: 202-955-6008
Mailing address:
  • Phone: 202-955-6001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0105X
TaxonomySurgery of the Hand (Surgery) Physician
License NumberD68508
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SHAHRYEAR SHAR HASHEMI
Title or Position: MEMBER
Credential: M.D.
Phone: 202-271-0599