Healthcare Provider Details

I. General information

NPI: 1538104120
Provider Name (Legal Business Name): ANIL DARBARI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2006
Last Update Date: 09/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 MICHIGAN AVE NW GASTROENTEROLOGY, WW2.5
WASHINGTON DC
20010-2970
US

IV. Provider business mailing address

111 MICHIGAN AVE NW, CHILDREN'S NATIONAL MEDICAL CENTER GASTROENTEROLOGY, WW2.5
WASHINGTON DC
20010-2970
US

V. Phone/Fax

Practice location:
  • Phone: 202-476-3032
  • Fax:
Mailing address:
  • Phone: 202-476-3032
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberD52971
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: