Individual
NIMA MADANCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
(855) 546-1686
Mailing address
8750 GEORGIA AVE APT 712B, SILVER SPRING, MD 20910-3668
(202) 412-1077
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MTL004213
DC
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MD
Other
Enumeration date
11/30/2017
Last updated
05/05/2024
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