Active NPI
R80 LLC
- Obesity Medicine (Internal Medicine) Physician
- Bethesda, MD
National Provider Identifier
1932821097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obesity Medicine (Internal Medicine) Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obesity Medicine (Internal Medicine) Physician | 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 DirectoryNPI 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.