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Organization

KHOSROW DAVACHI MD PC

Active
Parent organization
KHOSROW DAVACHI MD PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
KHOSROW DAVACHI MD PC
Authorized official
KHOSROW DAVACHI MD (PRESIDENT/OWNER)
(301) 868-7121
Entity
Organization

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
Primary

Other

Enumeration date
06/17/2024
Last updated
06/17/2024
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