Organization
R80 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAVAN JALAL SHABAN (EXECUTIVE DIRECTOR)
(301) 363-0901
Entity
Organization
Contact information
Practice address
8120 WOODMONT AVE STE 150, BETHESDA, MD 20814-9934
(202) 510-6565
Mailing address
8120 WOODMONT AVE STE 180, BETHESDA, MD 20814-2757
(301) 363-0901
Taxonomy
Speciality
Code
Description
License number
State
207RB0002X
Obesity Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
09/15/2022
Last updated
09/15/2022
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