ENNOBLE HC DMV III LLC – NPI #1922981695
Family Medicine

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

ENNOBLE HC DMV III LLC is a provider located in SILVER SPRING, MD. NPPES has assigned the NPI number 1922981695 to ENNOBLE HC DMV III LLC on July 29, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI data, there are 4 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207QG0300X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Geriatric Medicine

The NPI profile was last updated on Nov 03, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ENNOBLE HC DMV III LLC below.

NPI Profile for
ENNOBLE HC DMV III LLC

NPI Number
1922981695
Enumeration Date

(about 10 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ENNOBLE HC DMV III LLC
Primary location
962 WAYNE AVE STE 250
SILVER SPRING, MD 20910-4433
Phone: (240) 744-0001 Fax:
4 Other location(s):
39 V St NE
Washington, DC 20002-1329
Phone: (862) 812-9010
50 Glenlake Pkwy Ste 420
Sandy Springs, GA 30328-3489
Phone: (770) 637-1359
8115 Maple Lawn Blvd Ste 350
Fulton, MD 20759-2683
Phone: (551) 295-8223
20130 Lakeview Center Plz Ste 400
Ashburn, VA 20147-5905
Phone: (700) 865-2144
Mailing address
2 UNIVERSITY PLZ STE 204
HACKENSACK, NJ 07601-6211
Phone: (551) 295-8223 Fax:
Organization Subpart
No
Authorized Official
KUSHABHADRA DAS
CEO
Phone: (862) 812-9010
Updated
Certification Date
Nov 03, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QG0300X
- Family Medicine / Geriatric Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.