Provider Demographics
NPI:1538104120
Name:DARBARI, ANIL (MD)
Entity type:Individual
Prefix:
First Name:ANIL
Middle Name:
Last Name:DARBARI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 MICHIGAN AVE NW, CHILDREN'S NATIONAL MEDICAL CENTER
Mailing Address - Street 2:GASTROENTEROLOGY, WW2.5
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-2970
Mailing Address - Country:US
Mailing Address - Phone:202-476-3032
Mailing Address - Fax:
Practice Address - Street 1:111 MICHIGAN AVE NW
Practice Address - Street 2:GASTROENTEROLOGY, WW2.5
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2970
Practice Address - Country:US
Practice Address - Phone:202-476-3032
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-18
Last Update Date:2010-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD52971208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD016605700Medicaid
MD016605700Medicaid
MDKR41E971Medicare ID - Type Unspecified