Provider Demographics
NPI:1184508004
Name:DMV ALLERGY AND ASTHMA CENTER LLC
Entity type:Organization
Organization Name:DMV ALLERGY AND ASTHMA CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAVAN
Authorized Official - Middle Name:
Authorized Official - Last Name:NATARAJ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-994-6655
Mailing Address - Street 1:112 THOMAS JOHNSON DR STE 210
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702-4970
Mailing Address - Country:US
Mailing Address - Phone:301-370-2434
Mailing Address - Fax:301-444-5535
Practice Address - Street 1:112 THOMAS JOHNSON DR STE 210
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702-4970
Practice Address - Country:US
Practice Address - Phone:301-370-2434
Practice Address - Fax:301-444-5535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Multi-Specialty