Khosrow Davachi (NPI# 1295812899, PAC ID# 8729005426) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1295812899 |
PAC ID by PECOS | 8729005426 |
Professional Enrollment ID | I20100331000626 |
Full Name | Khosrow Davachi |
Organization Legal Name | KHOSROW DAVACHI,MD PC |
Address |
1328 Southern Avenue Se Suite 310 Washington DC 20032-4689 |
Phone Number | 2025620400 |
Gender | M |
Graduation Year | 1971 |
Primary Specialty | INTERNAL MEDICINE |
Secondary Specialties | NEPHROLOGY |
Group Practice PAC ID | 6901932466 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
090008 | UNITED MEDICAL CENTER |
210062 | MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER |
Address | Phone | Organization |
---|---|---|
7700 Old Branch Ave, Suite D203, Clinton, MD 20735-1611 | 3018687121 | KHOSROW DAVACHI,MD PC |
45 Saint Particks Dr, Waldorf, MD 20603-4507 | 3019327013 | KHOSROW DAVACHI,MD PC |
1328 Southern Avenue Se, Suite 310, Washington, DC 20032-4689 | 2025620400 | KHOSROW DAVACHI,MD PC |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
Organization Legal Name | KHOSROW DAVACHI,MD PC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Nevena Puletic | Nurse Practitioner | Khosrow Davachi,md PC | 45 Saint Particks Dr, Waldorf, MD 20603-4507 |
Street Address |
1328 SOUTHERN AVENUE SE SUITE 310 |
City | WASHINGTON |
State | DC |
Zip | 20032-4689 |
Name | Specialty | Organization | Address |
---|---|---|---|
Emily Nyange Floode | Nurse Practitioner | Ashebir Woldeabezgi Md PC | 4601 Martin Luther King Jr Sw Ave, Washington, DC 20032-1131 |
Christina Joy Williamson | Nurse Practitioner | Anacostia Medical Associates | 4601 Martin Luther King Jr Ave Sw, Washington, DC 20032-1131 |
Sherria M Lewis | Physician Assistant | Anacostia Medical Associates | 4601 Martin Luther King Jr Ave Sw, Washington, DC 20032-1131 |
Salvatore Manzella | Physician Assistant | Anacostia Medical Associates | 4601 Martin Luther King Jr Ave Sw, Washington, DC 20032-1131 |
Julian R Craig | Internal Medicine | 4601 Martin Luther King Jr Ave Sw, Washington, DC 20032-1131 | |
Hamid R Majdizadeh | Hospitalist | Anacostia Medical Associates | 4601 Martin Luther King Jr Ave Sw, Washington, DC 20032-1131 |
Mohammad R Ghandi | Internal Medicine | 4601 Martin Luther King Jr Ave Sw, Washington, DC 20032-1131 | |
Jacob Scott Miller | Physician Assistant | Anacostia Medical Associates | 4601 Martin Luther King Jr Ave Sw, Washington, DC 20032-1131 |
Shahin Oveisi | Internal Medicine | Anacostia Medical Associates | 4601 Martin Luther King Jr Ave Sw, Washington, DC 20032-1131 |
Moustapha Drame | Physician Assistant | Anacostia Medical Associates | 4601 Martin Luther King Jr Ave Sw, Washington, DC 20032-1131 |
Find all physicians in zip 20032 |
City | WASHINGTON |
Zip Code | 20032 |
Specialty | INTERNAL MEDICINE |
City + Specialty | WASHINGTON + INTERNAL MEDICINE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.