Kian Djawdan DMD PA

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

Legal business name

KIAN DJAWDAN DMD PA

Practice address

200 Harry S Truman Pkwy
Annapolis, MD 21401-7601

Phone

(410) 266-7645

NPI assigned

Dec 7, 2017

Organization subpart

No

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

Authorized official

Name

Kian Djawdan

Title

Owner

Phone

(410) 266-7645

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512604800000",
    "number": "1780199166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HARRY S TRUMAN PKWY STE 200",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HARRY S TRUMAN PKWY",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017601",
            "telephone_number": "410-266-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIAN DJAWDAN DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-07",
        "last_updated": "2017-12-07",
        "status": "A",
        "authorized_official_last_name": "DJAWDAN",
        "authorized_official_first_name": "KIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-266-7645"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fatemeh Khayatian, PHARM D
• Ramz Khleif
• Michael Khorsandi, M.D
• Mamuka Khundadze, M.D.
• Lali Khurtsia, M.D.
• Melissa Kibler, LCSW-C
• Tracie L Kidwell, OT
• Kelly G Kilcoyne, M.D.
• Colleen Kiley, MS, RD, LDN, CDE
• Baran Kilical, M.D.

• Oral and Maxillofacial Surgery Clinic/Center in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; 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.