Healthcare Provider Details

I. General information

NPI: 1700807674
Provider Name (Legal Business Name): SERBAN A DRAGOI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2006
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3941 FERRARA DR
SILVER SPRING MD
20906-4709
US

IV. Provider business mailing address

3941 FERRARA DR
SILVER SPRING MD
20906-4709
US

V. Phone/Fax

Practice location:
  • Phone: 301-942-5355
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number2006016508
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: