Organization
ENNOBLE HC DMV III LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KUSHABHADRA DAS (CEO)
(862) 812-9010
Entity
Organization
Contact information
Practice address
962 WAYNE AVE STE 250, SILVER SPRING, MD 20910-4433
(240) 744-0001
Mailing address
2 UNIVERSITY PLZ STE 204, HACKENSACK, NJ 07601-6211
(551) 295-8223
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
07/29/2025
Last updated
11/03/2025
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