Organization Active NPI

Spring Valley OBGYN PC

  • Obstetrics Physician
  • Washington, DC
National Provider Identifier
1841401676
Registry record updated Jan 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
MD20701 Issued in DC
Legal business name
SPRING VALLEY OBGYN PC
Practice address
4910 Massachusetts Ave NW
Suite 307
Washington, DC 20016-4300
Phone
(202) 237-8633
Fax
(202) 237-8632
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2008

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

Authorized official

Name
Dr. Malcolm Mark Desouza, M.D.NPI 1568578581
Title
President
Phone
(202) 237-8633

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VX0000X MD20701 DC Primary

Addresses

Primary practice location

4910 Massachusetts Ave NW
Suite 307
Washington, DC 20016-4300

Mailing address

4910 Massachusetts Ave NW
Suite 307
Washington, DC 20016-4300
Phone (202) 237-8633

National Provider Directory

National Provider Directory

Locations

4910 Massachusetts Ave NW
Ste 307
Washington, DC 20016
Phone (202) 237-8633

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199404800000",
    "number": "1841401676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 MASSACHUSETTS AVE NW",
            "address_2": "SUITE 307",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200164300",
            "telephone_number": "202-237-8633",
            "fax_number": "202-237-8632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 MASSACHUSETTS AVE NW",
            "address_2": "SUITE 307",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200164300",
            "telephone_number": "202-237-8633",
            "fax_number": "202-237-8632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING VALLEY OBGYN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2008-01-04",
        "status": "A",
        "authorized_official_last_name": "DESOUZA",
        "authorized_official_first_name": "MALCOLM",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-237-8633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "DC",
            "license": "MD20701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.