Healthcare Provider Details

I. General information

NPI: 1952444937
Provider Name (Legal Business Name): HUGH B ZADEH DMD, MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/15/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7611 LITTLE RIVER TURNPIKE
ANNANDALE VA
22003
US

IV. Provider business mailing address

1333 DASHER LN
RESTON VA
20190-3940
US

V. Phone/Fax

Practice location:
  • Phone: 703-256-2307
  • Fax: 703-256-3230
Mailing address:
  • Phone: 703-537-8443
  • Fax: 410-706-0891

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: