Individual
KAVEH RAD SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1832 14TH ST NW, WASHINGTON, DC 20009-4470
(202) 234-8882
Mailing address
1832 14TH ST NW, WASHINGTON, DC 20009-4470
(202) 234-8882
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
400313001361
DC
Other
Enumeration date
05/25/2016
Last updated
05/25/2016
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