DEER PARK CHIROPRACTIC P.C. NPI 1114050515

NPI Information

  • NPI: 1114050515
  • Provider Name: DEER PARK CHIROPRACTIC P.C.
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 604 S FREDERICK AVE
    SUITE 105
    GAITHERSBURG, MD
    ZIP 20877
  • Phone: (301) 990-4184

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NPI Details

DEER PARK CHIROPRACTIC P.C. is a chiropractor in Gaithersburg, MD. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DEER PARK CHIROPRACTIC P.C. NPI is 1114050515. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

604 S FREDERICK AVE
SUITE 105
GAITHERSBURG, MD
ZIP 20877-275
Phone: (301) 990-4184
Fax: (301) 990-4187

The provider's authorized official is Ehsan Khademi .
The authorized official title is President and has the following contact phone number (301) 990-4184.

The enumeration date for this NPI number is 3/14/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor1795MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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