IndividualActive
Davoud Mohtat, M.D.
NPI 1639483373 · Pediatric Nephrology Physician · Fairfax, VA
Provider details
- NPI number
- 1639483373
- Entity type
- Individual
- Primary specialty
- Pediatric Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 048941 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
3023 Hamaker Ct
Suite 600
Fairfax, VA 22031-2207
Phone: (703) 876-2788
Approximate (ZIP-level) locationGet directions
Mailing address
7146 Swansong Way
Bethesda, MD 20817-1251
Registry dates
- Enumerated
- 2010-08-05
- Last updated
- 2023-11-27
- Certified
- 2020-10-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.