Individual
ANUSHIRAVAN DADGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
10110 MOLECULAR DR, SUITE 206, ROCKVILLE, MD 20850-7539
(301) 279-2779
(240) 403-0190
Mailing address
10110 MOLECULAR DRIVE, SUITE 206, ROCKVILLE, MD 20850-7542
(301) 343-6505
(240) 403-0190
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
H0051280
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
351201100
—
MD
Enumeration date
05/05/2006
Last updated
04/05/2012
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