Healthcare Provider Details

I. General information

NPI: 1073502951
Provider Name (Legal Business Name): WILLIAM ARTHUR DAVIS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2005
Last Update Date: 06/27/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6400 GOLDSBORO RD SUITE#330
BETHESDA MD
20817-5826
US

IV. Provider business mailing address

6400 GOLDSBORO RD SUITE#330
BETHESDA MD
20817-5826
US

V. Phone/Fax

Practice location:
  • Phone: 301-320-3361
  • Fax: 301-320-0170
Mailing address:
  • Phone: 301-320-3361
  • Fax: 301-320-0170

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberMD11075
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberD0017418
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: