Healthcare Provider Details
I. General information
NPI: 1174986020
Provider Name (Legal Business Name): DAVID HORVAT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/29/2016
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9300 DEWITT LOOP
FORT BELVOIR VA
22060-5285
US
IV. Provider business mailing address
8901 WISCONSIN AVE
BETHESDA MD
20889-0004
US
V. Phone/Fax
- Phone: 571-231-2756
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084N0402X |
| Taxonomy | Neurology with Special Qualifications in Child Neurology Physician |
| License Number | 0101263266 |
| License Number State | VA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084N0400X |
| Taxonomy | Neurology Physician |
| License Number | 0101263266 |
| License Number State | VA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: