IndividualActive
Brian Deori, PA-C
NPI 1174929863 · Surgical Physician Assistant · Takoma Park, MD
Provider details
- NPI number
- 1174929863
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
7600 Carroll Ave
Takoma Park, MD 20912-6367
Phone: (301) 891-7600
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1893
Hyattsville, MD 20788-0893
Registry dates
- Enumerated
- 2014-11-07
- Last updated
- 2016-11-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.