Healthcare Provider Details

I. General information

NPI: 1265852206
Provider Name (Legal Business Name): SARA DEHBASHI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2014
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3800 RESERVOIR RD NW MEDSTAR GEORGETOWN UNIVERSITY HOSP PHC BUILDING 7TH FLOOR
WASHINGTON DC
20007
US

IV. Provider business mailing address

3800 RESERVOIR RD. N.W. PHC BUILDING 7TH FLOOR
WASHINGTON DC
20007
US

V. Phone/Fax

Practice location:
  • Phone: 202-444-1774
  • Fax: 410-354-5983
Mailing address:
  • Phone: 202-444-1774
  • Fax: 410-354-5983

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0008X
TaxonomyNeuromuscular Medicine (Psychiatry & Neurology) Physician
License NumberBP20054683
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code2084N0008X
TaxonomyNeuromuscular Medicine (Psychiatry & Neurology) Physician
License NumberMD467604
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberBP2-0054683
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberBP10050276
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: