Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Davoud Mohtat, MD

Individual provider Pediatric Nephrology Physician · NPI 1639483373

Davoud Mohtat, MD is a Pediatric Medicine in Fairfax, Virginia. Qualified in 1998, 28 years ago. Practices with Inova Health Care Services, a 1,827-clinician group and accepts Medicare assignment. Licensed in Connecticut and Virginia.

Years since qualifying
28
Licensed in
CT, VA
In the registry since
2010
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3023 Hamaker Ct Ste 600
Fairfax, VA 22031-2207
Phone: (703) 876-2788
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nephrology Physician (primary) Taxonomy 2080P0210X · Licence 0101253093 (VA)
Pediatric Nephrology Physician Taxonomy 2080P0210X · Licence 048941 (CT)

Record details

NPI number1639483373
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 5, 2010
Last updated in NPPESNovember 27, 2023
Certification dateOctober 19, 2020
Mailing address7146 Swansong Way, Bethesda, MD 20817-1251

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Inova Health Care Services — 1827 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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