Provider Demographics
NPI:1962651893
Name:SARAF, KAMRAN AKHAVAN (MD)
Entity Type:Individual
Prefix:DR
First Name:KAMRAN
Middle Name:AKHAVAN
Last Name:SARAF
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 1:10953 DEBORAH DR
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-2718
Mailing Address - Country:US
Mailing Address - Phone:202-567-7246
Mailing Address - Fax:206-984-9700
Practice Address - Street 1:10215 FERNWOOD RD STE 301
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-1183
Practice Address - Country:US
Practice Address - Phone:967-885-5982
Practice Address - Fax:202-788-5554
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-16
Last Update Date:2022-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME101473207L00000X
DCMD039848207L00000X, 207LP2900X
VA0101249477207L00000X, 207LP2900X
MDD72402207L00000X, 207LP2900X, 208VP0000X
PAMD439841207LP2900X
NYD72402207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine