Provider Demographics
| NPI: | 1083694475 |
|---|---|
| Name: | DARDEN, MICHAEL D (MD) |
| Entity type: | Individual |
| Prefix: | DR |
| First Name: | MICHAEL |
| Middle Name: | D |
| Last Name: | DARDEN |
| 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: | 7517 NEW HAMPSHIRE AVE |
| Mailing Address - Street 2: | |
| Mailing Address - City: | TAKOMA PARK |
| Mailing Address - State: | MD |
| Mailing Address - Zip Code: | 20912-6969 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 301-439-6235 |
| Mailing Address - Fax: | 301-439-7967 |
| Practice Address - Street 1: | 7517 NEW HAMPSHIRE AVE |
| Practice Address - Street 2: | |
| Practice Address - City: | TAKOMA PARK |
| Practice Address - State: | MD |
| Practice Address - Zip Code: | 20912-6969 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 301-439-6235 |
| Practice Address - Fax: | 301-439-7967 |
| Is Sole Proprietor?: | Not Answered |
| Enumeration Date: | 2006-01-20 |
| Last Update Date: | 2025-09-11 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| MD | D0029247 | 207K00000X, 208000000X |
| DC | MD13075 | 208000000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | |
| No | 207K00000X | Allopathic & Osteopathic Physicians | Allergy & Immunology |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| DC | 429775 | Medicare ID - Type Unspecified | |
| MD | B94893 | Medicare UPIN |