Basil Maghak, M.D.

Primary specialty

Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X

License

D004408 Issued in MD

Practice address

1850 Town Center Pkwy
Suite 258
Reston, VA 20190-3219

Phone

(703) 435-1454

Fax

(703) 435-8630

NPI assigned

Jul 3, 2006

Last updated

May 4, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430697600000",
    "number": "1356371785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 TOWN CENTER PKWY",
            "address_2": "SUITE 258",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903219",
            "telephone_number": "703-435-1454",
            "fax_number": "703-435-8630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 TOWN CENTER PKWY",
            "address_2": "SUITE 258",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903219",
            "telephone_number": "703-435-1454",
            "fax_number": "703-435-8630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGHAK",
        "first_name": "BASIL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2015-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "MD",
            "license": "D004408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "234401700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie Bones Maclay, BSPHARM
• Seyedeh Maryam Madani
• Mark P Madden, MD
• Jennifer Michelle Maddox-Byrd, LCSW
• Joseph D Madison, D.M.D
• Jane L Mahan-Wiegand, M.S., R.D.
• Bharati Mahindrakar, MD
• Majid Dastgir, DMD, PLLC (Reston Serenity Smiles)
• Connor Maldonado
• Nidhi K Malik, MD

• Maternal & Fetal Medicine Physician in Reston, VA
• Providers in Reston, VA by specialty
• Maternal & Fetal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.