Individual provider · Type 1 NPI

Brian Deori, PA-C

Surgical Physician Assistant · Takoma Park, MD

NPI number 1174929863 Active

Practice location

7600 Carroll Ave
Takoma Park, MD 20912-6367

Mailing address

PO Box 1893
Hyattsville, MD 20788-0893

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1174929863

Brian Deori, PA-C's National Provider Identifier is 1174929863, issued on Nov 7, 2014. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Takoma Park, MD. The record was last updated on Nov 17, 2016.