Healthcare Provider Details

I. General information

NPI: 1659216141
Provider Name (Legal Business Name): SAMARTH MUKESH RABADIYA M.B.B.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3800 RESERVOIR RD. NW DEPARTMENT OF PEDIATRICS
WASHINGTON DC
20007
US

IV. Provider business mailing address

3800 RESERVOIR RD. NW DEPARTMENT OF PEDIATRICS
WASHINGTON DC
20007
US

V. Phone/Fax

Practice location:
  • Phone: 202-243-3400
  • Fax: 877-680-5502
Mailing address:
  • Phone: 202-243-3400
  • Fax: 877-680-5502

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: