Healthcare Provider Details

I. General information

NPI: 1326787003
Provider Name (Legal Business Name): AURASH DAVID MOHEBBI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2022
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 W 7TH ST
FREDERICK MD
21701-4594
US

IV. Provider business mailing address

11905 CENTURION WAY
POTOMAC MD
20854-6420
US

V. Phone/Fax

Practice location:
  • Phone: 240-566-3300
  • Fax:
Mailing address:
  • Phone: 240-994-6866
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberD0107959
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: