Organization Active NPI

Home Based Primary Care of DC Inc.

  • Internal Medicine Physician
  • Rockville, MD
National Provider Identifier
1417400417
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
H0051280 Issued in MD
Legal business name
HOME BASED PRIMARY CARE OF DC INC.
Practice address
10110 Molecular Drive
Suite 114
Rockville, MD 20850
Phone
(301) 343-6505
NPI assigned
Jul 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2016

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

Authorized official

Name
Anushiravan Dadgar, D.O
Title
Owner
Phone
(301) 343-6505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X H0051280 MD Primary

Addresses

Primary practice location

10110 Molecular Drive
Suite 114
Rockville, MD 20850

Mailing address

10110 Molecular Drive
Suite 114
Rockville, MD 20850
Phone (301) 343-6505

National Provider Directory

National Provider Directory

Locations

10110 Molecular Dr
Ste 114
Rockville, MD 20850
Phone (301) 343-6505

NPI Registry JSON

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469577600000",
    "number": "1417400417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10110 MOLECULAR DRIVE",
            "address_2": "SUITE 114",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "20850",
            "telephone_number": "301-343-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10110 MOLECULAR DRIVE",
            "address_2": "SUITE 114",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "20850",
            "telephone_number": "301-343-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME BASED PRIMARY CARE OF DC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-27",
        "last_updated": "2016-07-27",
        "status": "A",
        "authorized_official_last_name": "DADGAR",
        "authorized_official_first_name": "ANUSHIRAVAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-343-6505",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "H0051280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; 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.