Active NPI
Esfand Nawab, M.D.
- Specialist
- Bethesda, MD
National Provider Identifier
1528060944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- D13630
- Practice address
- 5411 W Cedar LN
Suite 108a
Bethesda, MD 20814-1516 - Phone
- (301) 530-4002
- NPI assigned
- Aug 15, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | D13630 | MD | Primary |
Addresses
Primary practice location
5411 W Cedar LN
Suite 108a
Bethesda, MD 20814-1516
Mailing address
5411 W Cedar LN
Suite 108a
Bethesda, MD 20814-1516
Phone (301) 530-4002
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 212031300 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D13630 | MD | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212105600000",
"number": "1528060944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5411 W CEDAR LN",
"address_2": "SUITE 108A",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208141516",
"telephone_number": "301-530-4002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5411 W CEDAR LN",
"address_2": "SUITE 108A",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208141516",
"telephone_number": "301-530-4002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAWAB",
"first_name": "ESFAND",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-15",
"last_updated": "2008-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MD",
"license": "D13630",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "212031300",
"state": "MD"
}
],
"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 May 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.