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

Nima Khavanin

Individual provider Plastic Surgery Physician · NPI 1770973190

Nima Khavanin is a Plastic and Reconstructive Surgery in Baltimore, Maryland. Graduated from Northwestern University Feinberg Medical School in 2016, 10 years ago. Practices with Johns Hopkins University, a 198-clinician group and works from 2 locations. Licensed in District of Columbia and Maryland.

Years since qualifying
10
Trained at
Northwestern University Feinberg Medical School
Licensed in
DC, MD
In the registry since
2015
Specialties on file
2

Practice location Address checks out

4940 Eastern Ave Ste A518
Baltimore, MD 21224-2735
Phone: (410) 550-0407
Show map & directions

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

Additional practice locations (1)

  • 5255 Loughboro Rd Nw, Washington, DC 20016-2633 — (202) 537-4000

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence MD500003365 (DC)
Plastic Surgery Physician Taxonomy 208200000X · Licence D0100771 (MD)

Record details

NPI number1770973190
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 24, 2015
Last updated in NPPESJuly 18, 2024
Certification dateJuly 18, 2024
Mailing address6201 Greenleigh Ave Fl 2, Middle River, MD 21220-2004

Medicare enrollment

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

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolNORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduated 2016 (10 years in practice)
Group practice Johns Hopkins University — 198 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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