Physician Compare National (NPI:1396010005)

HEALTHCARE PROVIDER: FARANAK TAHERI D.C

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1396010005
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0244593242
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20180404000438
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	TAHERI
	Individual professional last name
Provider First Name	FARANAK
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	CLEVELAND CHIROPRACTIC COLLEGE - LOS ANGELES
	Individual professional's medical school
Graduation Year	2011
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	8206 LEESBURG PIKE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 201
	Group Practice or individual's line 2 address
City	VIENNA
	Group Practice or individual's city
State	VA
	Group Practice or individual's state
Zip Code	221822614
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7036638808
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y