Mohtat, Davoud
Mohtat, Davoud is an individual health care provider with primary practice located at 3023 Hamaker Ct Suite 600, Fairfax VA 22031-2207. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Nephrology, which is considered as his primary health care specialty. Mohtat, Davoud can be contacted via phone (703) 876-2788.Contact Information
Primary practice address
3023 Hamaker Ct Suite 600
Fairfax VA 22031-2207
Phone: (703) 876-2788
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Nephrology | 2080P0210X | 048941 | Connecticut |
| Allopathic & Osteopathic Physicians / Pediatric Nephrology | 2080P0210X | 0101253093 | Virginia |
Profile Details
| NPI number | 1639483373 |
|---|---|
| LBN Legal business name | Mohtat, Davoud |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2010 |
| Last updated | Nov 27th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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