Organization Active NPI

Iradj Dadgar MD PC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Clinton, MD
National Provider Identifier
1629259247
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
D0014827 Issued in MD
Legal business name
IRADJ DADGAR MD PC
Practice address
7801 Old Branch Ave
Suite 409
Clinton, MD 20735-1608
Phone
(240) 403-3320
Fax
(301) 983-4285
NPI assigned
Nov 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

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

Authorized official

Name
Iradj Dadgar Dehkordi, MD
Title
Owner
Phone
(240) 403-3322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208G00000X D0014827 MD Primary

Addresses

Primary practice location

7801 Old Branch Ave
Suite 409
Clinton, MD 20735-1608

Mailing address

PO Box 1625
Rockville, MD 20849-1625
Phone (240) 403-3322

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1629259247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1625",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208491625",
            "telephone_number": "240-403-3322",
            "fax_number": "301-983-4285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 OLD BRANCH AVE",
            "address_2": "SUITE 409",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207351608",
            "telephone_number": "240-403-3320",
            "fax_number": "301-983-4285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRADJ DADGAR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "DADGAR DEHKORDI",
        "authorized_official_first_name": "IRADJ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-403-3322",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MD",
            "license": "D0014827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.

Verify at the official NPI Registry.