Provider Demographics
NPI:1891429213
Name:SMART DOCTORS, LLC
Entity Type:Organization
Organization Name:SMART DOCTORS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER CMO
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:KOHN
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:646-221-0941
Mailing Address - Street 1:42603 GOOD HOPE LN
Mailing Address - Street 2:
Mailing Address - City:BRAMBLETON
Mailing Address - State:VA
Mailing Address - Zip Code:20148-7266
Mailing Address - Country:US
Mailing Address - Phone:646-221-0941
Mailing Address - Fax:
Practice Address - Street 1:42603 GOOD HOPE LN
Practice Address - Street 2:
Practice Address - City:BRAMBLETON
Practice Address - State:VA
Practice Address - Zip Code:20148-7266
Practice Address - Country:US
Practice Address - Phone:646-221-0941
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-12
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty