Individual
DR. KHOSROW DAVACHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7700 OLD BRANCH AVE STE D203, CLINTON, MD 20735-1611
(301) 868-7121
(301) 868-7968
Mailing address
7700 OLD BRANCH AVE, STE D203, CLINTON, MD 20735-1611
(301) 868-7121
(301) 868-7968
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
D0025640
MD
207RN0300X
Nephrology Physician
Primary
MD8172
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022838200
—
DC
01
—
0400741
UNITED HEALTH CARE
DC
01
—
0400742
UNITED HEALTH CARE
MD
01
—
0771 0001
BLUE CHOICE
DC
01
—
097999
BLUE CROSS
VA
01
—
110186422
RAILROAD MEDICARE
MD
01
—
1212
ELDER HEALTH
—
05
—
205102800
—
MD
01
—
22594
KAISER
—
01
—
27555
PRIORITY PARTNERS
—
01
—
30859001
CAREFIRST
MD
01
—
409013349
RAILROAD MEDICARE
DC
01
—
417465
MDIPA/OPTIMUM CHOICE
—
01
—
4954
HEALTHRITE
DC
Enumeration date
11/01/2006
Last updated
04/01/2025
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