SearchMaryland1223E0200X

Djavan Wharton-Lake

NPI 1174938906 · on the registry since 2014 · sole proprietor

Practice

Address
2045 University Blvd E Ste 204
Hyattsville, MD 20783
Phone
(626) 254-0207
Fax
(626) 254-8679
Organisation at this address
Moore Obgyn Llc
Saman F Ghahremani Md Pc
Saman F Ghahremani Md Pc
Greater Maryland Endodontics, Llc
Rebound Chiropractic And Sports Clinics
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
1223E0200X
1223E0200X
Also registered as
1223E0200X
1223E0200X
1223E0200X
Licence states on file
CA, SC, MD, VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-11-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland