MEDICARE: DR. ASHA DAVIS M.D.

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	2084P0804X	Child & Adolescent Psychiatry Physician	ME121803	FL
2	2084P0800X	Psychiatry Physician	ME121803	FL
3	2084P0800X	Psychiatry Physician	MD600004643	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811177249
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ASHA DAVIS M.D.

Provider Business Mailing Address
First Line	:	3400 MARTIN LUTHER KING JR AVE SE STE 300
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20032-1542
Country	:	US
Telephone Number	:	202-724-7666
Fax Number	:	202-724-7846

Provider Business Practice Location Address
First Line	:	3400 MARTIN LUTHER KING JR AVE SE STE 300
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20032-1542
Country	:	US
Telephone Number	:	202-724-7666
Fax Number	:

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

Provider Enumeration Date	:	11/14/2007
Last Update Date	:	12/11/2025

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Directions to “ DR. ASHA DAVIS M.D.” Practice Location

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