Organization Active NPI

R80 LLC

  • Obesity Medicine (Internal Medicine) Physician
  • Bethesda, MD
National Provider Identifier
1932821097
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Internal Medicine) PhysicianTaxonomy code 207RB0002X
Legal business name
R80 LLC
Practice address
8120 Woodmont Ave Ste 150
Bethesda, MD 20814-9934
Phone
(202) 510-6565
NPI assigned
Sep 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Authorized official

Name
Kavan Jalal Shaban
Title
Executive Director
Phone
(301) 363-0901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RB0002X Primary

Addresses

Primary practice location

8120 Woodmont Ave Ste 150
Bethesda, MD 20814-9934

Mailing address

8120 Woodmont Ave Ste 180
Bethesda, MD 20814-2757
Phone (301) 363-0901

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663200000000",
    "number": "1932821097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8120 WOODMONT AVE STE 180",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142757",
            "telephone_number": "301-363-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8120 WOODMONT AVE STE 150",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208149934",
            "telephone_number": "202-510-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R80 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-15",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A",
        "authorized_official_last_name": "SHABAN",
        "authorized_official_first_name": "KAVAN",
        "authorized_official_middle_name": "JALAL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "301-363-0901"
    },
    "taxonomies": [
        {
            "code": "207RB0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 15, 2022; 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.