MEDICARE: NEDA KNIGHT MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	0101273055	VA
2	207L00000X	Anesthesiology Physician	149356	CA
3	207L00000X	Anesthesiology Physician	D92715	MD

General Provider Information

NPI Number	:	1497012272
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NEDA KNIGHT MD

Provider Business Mailing Address
First Line	:	1117 KENSINGTON RD
Second Line	:
City	:	MC LEAN
State	:	VA
Zip	:	22101-2919
Country	:	US
Telephone Number	:	405-326-6923
Fax Number	:

Provider Business Practice Location Address
First Line	:	6400 GOLDSBORO RD STE 400
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20817-5846
Country	:	US
Telephone Number	:	301-263-0800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2012
Last Update Date	:	05/10/2023

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