Persona Doctors LLC

Primary specialty

Obesity Medicine (Internal Medicine) PhysicianTaxonomy code 207RB0002X

Legal business name

PERSONA DOCTORS LLC

Practice address

8120 Woodmont Ave Ste 150
Bethesda, MD 20814-2743

Phone

(202) 330-4998

NPI assigned

Sep 15, 2022

Organization subpart

No

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

Authorized official

Name

Kavan Shaban

Title

Executive Director

Phone

(703) 405-5338

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663200000000",
    "number": "1457073520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8120 WOODMONT AVE STE 150",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208149934",
            "telephone_number": "202-330-4998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8120 WOODMONT AVE STE 150",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142743",
            "telephone_number": "202-330-4998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "202 Perry Pkwy Ste 1",
            "address_purpose": "LOCATION",
            "city": "Gaithersburg",
            "state": "MD",
            "postal_code": "208772172",
            "country_code": "US",
            "telephone_number": "301-637-6320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7850 Walker Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Greenbelt",
            "state": "MD",
            "postal_code": "207703255",
            "country_code": "US",
            "telephone_number": "240-473-4401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7001 Johnnycake Rd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Windsor Mill",
            "state": "MD",
            "postal_code": "212442419",
            "country_code": "US",
            "telephone_number": "410-394-8275",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1755 Duke St Ste G-1",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223143401",
            "country_code": "US",
            "telephone_number": "703-988-4183",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1953 Gallows Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Tysons Corner",
            "state": "VA",
            "postal_code": "221824009",
            "country_code": "US",
            "telephone_number": "703-291-0021",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12701 Marblestone Dr Ste 140",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221928326",
            "country_code": "US",
            "telephone_number": "703-291-3411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PERSONA DOCTORS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-15",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A",
        "authorized_official_last_name": "SHABAN",
        "authorized_official_first_name": "KAVAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "703-405-5338"
    },
    "taxonomies": [
        {
            "code": "207RB0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine M Perry, DNP CRNA
• Loring Isaac Perry, M.D.
• Monique Janice Bottoms Perry, MD
• Emma Persico
• Rebecca Persky, M.D.
• Donamarie Dela Pena Pesebre, RDH
• Peter Kwon, DDS, LLC
• Shantel D Peterkin
• Alex Peters, MD
• Lydia Marie Peters, DPT

• Obesity Medicine (Internal Medicine) Physician in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Obesity Medicine (Internal Medicine) Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.