Individual
DAVITA MABOURAKH HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA11140800
NJ
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
ME153182
FL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
RTL22-0632
NC
Other
Enumeration date
04/04/2018
Last updated
07/15/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up