Healthcare Provider Details

I. General information

NPI: 1811177249
Provider Name (Legal Business Name): ASHA DAVIS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/14/2007
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 MARTIN LUTHER KING JR AVE SE STE 300
WASHINGTON DC
20032-1542
US

IV. Provider business mailing address

3400 MARTIN LUTHER KING JR AVE SE STE 300
WASHINGTON DC
20032-1542
US

V. Phone/Fax

Practice location:
  • Phone: 202-724-7666
  • Fax:
Mailing address:
  • Phone: 202-724-7666
  • Fax: 202-724-7846

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberME121803
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberME121803
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD600004643
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: