DAVOUD MOHTAT (NPI# 1639483373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639483373 |
| Entity Type | Individual |
| Full Name | DAVOUD MOHTAT |
| Credential | M.D. |
| Practice Address |
3023 Hamaker Ct Suite 600 Fairfax VA 22031-2207 |
| Mailing Address |
7146 Swansong Way Bethesda MD 20817-1251 |
| Practice Telephone | 7038762788 |
| Mailing Telephone | 3472670858 |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2020-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0210X |
Pediatrics Specialization: Pediatric Nephrology |
0101253093 | VA | Allopathic & Osteopathic Physicians |
| N | 2080P0210X |
Pediatrics Specialization: Pediatric Nephrology |
048941 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
3023 HAMAKER CT SUITE 600 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22031-2207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023082864 | Ivette Anne Couret | Obstetrics & Gynecology | 3023 Hamaker Ct, Suite 210a, Fairfax, VA 22031-2222 | 2006-02-16 |
| 1578129359 | Ashleigh Bronwyn Mccoy | Physician Assistant | 3023 Hamaker Ct, Fairfax, VA 22031-2207 | 2019-05-16 |
| 1386174084 | Haley Marie Gilmore Smith | Registered Nurse | 3023 Hamaker Ct, Fairfax, VA 22031-2207 | 2017-06-14 |
| 1568902567 | Jessica Erin Stafford | Nurse Practitioner | 3023 Hamaker Ct, Fairfax, VA 22031-2207 | 2017-02-24 |
| 1770025876 | Margaret Goss | Nurse Practitioner | 3023 Hamaker Ct, Fairfax, VA 22031-2207 | 2016-11-07 |
| 1730530486 | Courtney Joy Nahigian | Nurse Practitioner | 3023 Hamaker Ct, Fairfax, VA 22031-2207 | 2016-06-23 |
| 1427406727 | Peggy Vollstad | Physician Assistant | 3023 Hamaker Ct, Suite 200, Fairfax, VA 22031-2207 | 2016-05-26 |
| 1336508910 | 3d Body Imaging LLC | Clinic/Center | 3023 Hamaker Ct, Ll50, Fairfax, VA 22031-2207 | 2016-02-11 |
| 1649638768 | Luke Stikeleather | Orthotist | 3023 Hamaker Ct, Suite Ll-50, Fairfax, VA 22031-2207 | 2016-02-03 |
| 1437557113 | Scoliosis Solutions LLC | Durable Medical Equipment & Medical Supplies | 3023 Hamaker Ct, Suite Ll-50, Fairfax, VA 22031-2207 | 2014-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902414105 | Su Jung Kang | Dentist | 9661-c Main Street, Fairfax, VA 22031 | 2020-07-14 |
| 1346896347 | Fuling Guo | Acupuncturist | 3013 James St, Fairfax, VA 22031 | 2019-08-15 |
| 1902458797 | Kayla Callister | Psychologist | 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 | 2019-07-11 |
| 1790349801 | Fairfax Dental Esthetics | Dentist | 9621 Fairfax Blvd., Fairfax, VA 22031 | 2019-04-24 |
| 1417427675 | Kathryn Yen Ho | Speech-Language Pathologist | 8270 Willow Oaks Corporate Drive Suite 2127, Falls Church, VA 22031 | 2018-11-30 |
| 1932681376 | Joanne Towers | Physician Assistant | 3025 Hamaker Court Suite 300, Fairfax, VA 22031 | 2018-09-01 |
| 1790262020 | S Renee Dennis | Nurse Practitioner | 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 | 2018-07-19 |
| 1013493451 | Elizabeth Joan Dwyer | Physician Assistant | 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 | 2018-07-18 |
| 1316432669 | Delta Pharm LLC | Pharmacy | 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 | 2018-06-28 |
| 1629567656 | Laura Breeden | Acupuncturist | 3846 Lyndhurst Dr Apt 301, Fairfax, Va, VA 22031 | 2018-05-04 |
| Find all providers in zip 22031 | ||||
| Taxonomy Code | 2080P0210X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Nephrology |
| A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235226663 | Randala R Lakkis | Pediatrics | 3023 Hamaker Ct Ste 600, Fairfax, VA 22031-2241 | 2006-10-06 |
| 1114962743 | Lynne Pei-lan Yao | Pediatrics | 8505 Arlington Blvd, Suite 100, Fairfax, VA 22031-4621 | 2006-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881016541 | Michael John Solhaug | Pediatrics | 5203 Holly Rd, Virginia Beach, VA 23451-2330 | 2014-01-15 |
| 1386764025 | Roberto Ariel Gomez | Pediatrics | 2nd Lee St, Charlottesville, VA 22908-0001 | 2007-03-29 |
| 1740836287 | Sarah Burnett | Pediatrics | 1204 W Main St, Charlottesville, VA 22903-2824 | 2019-08-12 |
| 1942520341 | Cristin Duongba Wendel Kaspar | Pediatrics | 1250 E Marshall St, Richmond, VA 23298-5051 | 2010-06-08 |
| 1396979019 | Sarah E Hoffmann | Pediatrics | 1250 E Marshall St, Pediatrics, Richmond, VA 23298-5051 | 2009-05-08 |
| 1558485524 | Jennifer R. Charlton | Pediatrics | 1204 W Main St, Charlottesville, VA 22903-2824 | 2007-03-16 |
| 1497816045 | Agnieszka Swiatecka-urban | Pediatrics | 1204 W Main St, Charlottesville, VA 22903-2824 | 2006-12-13 |
| 1376612903 | Victoria F. Norwood | Pediatrics | 1204 W Main St, Charlottesville, VA 22903-2824 | 2006-11-07 |
| 1184699522 | Timothy E Bunchman | Pediatrics | 1250 E Marshall St, Pediatrics, Richmond, VA 23298-5051 | 2006-02-21 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.