KHOSROW DAVACHI MD PC – NPI #1619710761
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 1619710761 to KHOSROW DAVACHI MD PC on June 17, 2024. 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

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
1619710761
Enumeration Date

(about 2 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) 868-7968
Mailing address
Same as primary location
Organization Subpart
Yes - KHOSROW DAVACHI MD PC is subpart of another organization.
Authorized Official
KHOSROW DAVACHI
PRESIDENT/OWNER
Phone: (301) 868-7121
Updated
Certification Date
Jun 17, 2024

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
207RN0300X
- Internal Medicine / Nephrology (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.