Healthcare Provider Details

I. General information

NPI: 1992117477
Provider Name (Legal Business Name): NAVID SADOUGHI DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: NAVID SADOUGHIANZADEH DPM

II. Dates (important events)

Enumeration Date: 06/02/2014
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 N PARK AVE STE G1N
CHEVY CHASE MD
20815-7516
US

IV. Provider business mailing address

4600 N PARK AVE STE G1N
CHEVY CHASE MD
20815-7516
US

V. Phone/Fax

Practice location:
  • Phone: 240-641-8735
  • Fax: 240-641-8740
Mailing address:
  • Phone: 240-641-8735
  • Fax: 240-641-8740

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberN006859-1
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number01623
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: