KHOSROW DAVACHI MD PC – NPI #1295944957
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

KHOSROW DAVACHI MD PC is a provider located in CLINTON, MD. NPPES has assigned the NPI number 1295944957 to KHOSROW DAVACHI MD PC on May 21, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was last updated on Jul 09, 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 KHOSROW DAVACHI MD PC below.

NPI Profile for
KHOSROW DAVACHI MD PC

NPI Number
1295944957
Enumeration Date

(more than 19 years 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
KHOSROW DAVACHI MD PC
Primary location
7700 OLD BRANCH AVE STE D203
CLINTON, MD 20735-1611
Phone: (301) 868-7121 Fax: (301) 877-1934
1 Other location(s):
6196 Oxon Hill Rd Ste 290D203
Oxon Hill, MD 20745-3100
Phone: (301) 868-7121
Fax: (301) 868-7968
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KHOSROW DAVACHI
PRESIDENT OWNER
Phone: (301) 868-7121
Updated
Certification Date
Jul 09, 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.

Identifiers

Identifiers for KHOSROW DAVACHI MD PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
otherAETNA4050444
otherANTHEM BXVA097999
otherBLUE CHOICEDC0771 0001
otherBX DCDC0771 0001
otherBX MARYLANDMD30859001
otherCIGNA0734041012
otherMAMSI417465
otherMEDICARE175743
otherRAILROAD MEDICAREDCCH8837
otherRAILROAD MEDICAREMDCH8837
medicaidDC10094
medicaidDC4954
medicaidDC048343500
medicaidDC05722
medicaidMD05722
medicaidMD205102800
medicaidMD27555
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
207RN0300X
- Internal Medicine / Nephrology (Primary)
DC MD8172

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.