Healthcare Provider Details

I. General information

NPI: 1548649700
Provider Name (Legal Business Name): ISAAC NAGGAR M.D., PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2015
Last Update Date: 09/12/2023
Certification Date: 09/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7315 WISCONSIN AVE
BETHESDA MD
20814-3202
US

IV. Provider business mailing address

6201 GREENLEIGH AVE
MIDDLE RIVER MD
21220-2004
US

V. Phone/Fax

Practice location:
  • Phone: 240-235-9120
  • Fax:
Mailing address:
  • Phone: 857-225-1008
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberMD047032
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code2084E0001X
TaxonomyEpilepsy Physician
License NumberMD047032
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: