Healthcare Provider Details

I. General information

NPI: 1679653018
Provider Name (Legal Business Name): CARLA DAVIS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 04/28/2025
Certification Date: 04/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2041 GEORGIA AVE NW FL 2
WASHINGTON DC
20060-2316
US

IV. Provider business mailing address

2041 GEORGIA AVE NW STE 3400
WASHINGTON DC
20060-0001
US

V. Phone/Fax

Practice location:
  • Phone: 202-865-6741
  • Fax: 202-865-4558
Mailing address:
  • Phone: 202-865-6679
  • Fax: 202-865-5018

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License NumberMD600003339
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code2080P0201X
TaxonomyPediatric Allergy/Immunology Physician
License NumberL1306
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code2080P0201X
TaxonomyPediatric Allergy/Immunology Physician
License NumberMD6000003339
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: