Healthcare Provider Details

I. General information

NPI: 1003814062
Provider Name (Legal Business Name): STEVEN PAUL DAVISON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2005
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3050 K STREET NW STE 170
WASHINGTON DC
20007-5108
US

IV. Provider business mailing address

3050 K STREET NW STE 170
WASHINGTON DC
20007-5108
US

V. Phone/Fax

Practice location:
  • Phone: 202-966-9590
  • Fax: 202-966-9596
Mailing address:
  • Phone: 202-966-9590
  • Fax: 202-966-9596

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License NumberMD3164
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberDC31641
License Number StateDC
# 3
Primary TaxonomyN
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number31641
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: