Provider Demographics
NPI:1487767927
Name:MILANI, FATEMEH (MD)
Entity type:Individual
Prefix:DR
First Name:FATEMEH
Middle Name:
Last Name:MILANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 IRVING ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-2921
Mailing Address - Country:US
Mailing Address - Phone:202-877-1000
Mailing Address - Fax:202-291-7324
Practice Address - Street 1:102 IRVING ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2921
Practice Address - Country:US
Practice Address - Phone:202-877-1000
Practice Address - Fax:202-291-7324
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2007-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD16845208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
114434OtherKAISER
320218OtherMAMSI
603968-01OtherBS OF MD
5319447OtherAETNA NON HMO
DC017422500Medicaid
DCA0016845OtherBC NCA
495008OtherNCPPO
5460-0016OtherBS NCA
6972733002OtherCIGNA
250007545OtherMEDICARE RAILROAD
MD278581100Medicaid
5460-0016OtherBS NCA
E60714Medicare UPIN