Organization Active NPI

Reza Ghorbani MD PC

  • Pain Medicine (Anesthesiology) Physician
  • Bethesda, MD
National Provider Identifier
1396049722
Registry record updated Dec 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
D0065935 Issued in MD
Legal business name
REZA GHORBANI MD PC
Practice address
5530 Wisconsin Ave
1550
Bethesda, MD 20815-4404
Phone
(301) 220-1333
Fax
(301) 215-4157
NPI assigned
Dec 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2010

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

Authorized official

Name
Reza Ghorbani, M.D.
Title
President/Medical Director
Phone
(781) 727-1352

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X D0065935 MD
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X D0065935 MD Primary

Addresses

Primary practice location

5530 Wisconsin Ave
1550
Bethesda, MD 20815-4404

Mailing address

PO Box 71155
Bethesda, MD 20813-1155
Phone (301) 220-1333

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1293494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293494400000",
    "number": "1396049722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71155",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208131155",
            "telephone_number": "301-220-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530 WISCONSIN AVE",
            "address_2": "1550",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208154404",
            "telephone_number": "301-220-1333",
            "fax_number": "301-215-4157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REZA GHORBANI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-28",
        "last_updated": "2010-12-28",
        "status": "A",
        "authorized_official_last_name": "GHORBANI",
        "authorized_official_first_name": "REZA",
        "authorized_official_title_or_position": "PRESIDENT/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "781-727-1352",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D0065935",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MD",
            "license": "D0065935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; 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.