NPIMap

Organization Active NPI

Iradj Dadgar-Dehkordi

  • Special Hospital
  • Clinton, MD
National Provider Identifier
1932422326
Registry record updated Mar 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Special HospitalTaxonomy code 284300000X
License
D0014827 Issued in MD
Legal business name
IRADJ DADGAR-DEHKORDI
Practice address
7801 Old Branch Ave Ste 409
Clinton, MD 20735-1644
Phone
(240) 403-3322
Fax
(301) 983-4285
NPI assigned
Mar 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2010

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

Authorized official

Name
Mrs. Azar Dadgar
Title
Office Manager
Phone
(240) 403-3322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Special Hospital 284300000X D0014827 MD Primary

Addresses

Primary practice location

7801 Old Branch Ave Ste 409
Clinton, MD 20735-1644

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
358151900MedicaidMD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1268352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268352000000",
    "number": "1932422326",
    "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 STE 409",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207351644",
            "telephone_number": "240-403-3322",
            "fax_number": "301-983-4285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRADJ DADGAR-DEHKORDI",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-12",
        "last_updated": "2010-03-12",
        "status": "A",
        "authorized_official_last_name": "DADGAR",
        "authorized_official_first_name": "AZAR",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "240-403-3322",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "MD",
            "license": "D0014827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "358151900",
            "state": "MD"
        }
    ],
    "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 Mar 12, 2010; 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.