Individual
SETAREH BANAIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3800 RESERVOIR RD NW, S-CCC, WASHINGTON, DC 20007-2113
(202) 444-8556
(202) 444-8854
Mailing address
11760 SUNRISE VALLEY DR, APT#302, RESTON, VA 20191-1411
(703) 864-4122
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024172809
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00616725
RAILROAD MEDICARE
DC
Enumeration date
01/18/2008
Last updated
05/21/2019
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