DR. REZA J DAUGHERTY MD NPI 1184716938

NPI Information

  • NPI: 1184716938
  • Provider Name: DR. REZA J DAUGHERTY, MD
  • Classification: Radiology - 2085P0229X
  • Specialization: Pediatric Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1215 LEE ST
    CHARLOTTESVILLE, VA
    ZIP 22908
  • Phone: (434) 924-9400

Map and Directions

Get Directions

NPI Details

DR. Reza J Daugherty, MD is a pediatric radiology radiology in Charlottesville, VA with 27 years of experience. The provider is a radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood. DR. Reza J Daugherty, MD NPI is 1184716938. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduation Year:1999

The provider's business location address is:

1215 LEE ST
CHARLOTTESVILLE, VA
ZIP 22908-816
Phone: (434) 924-9400
Fax: (434) 982-1618

The NPI 1184716938 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/29/2006 and was last updated on 10/31/2024.

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
1207PP0204XEmergency MedicinePediatric Emergency MedicineC10007905DELAWARENo
22080P0204XPediatricsPediatric Emergency MedicineC10007905DELAWARENo
32085R0202XRadiologyDiagnostic Radiology0101264628VIRGINIANo
42085R0202XRadiologyDiagnostic RadiologyMD419063PENNSYLVANIANo
52085R0202XRadiologyDiagnostic RadiologyC10007905DELAWARENo
62085P0229XRadiologyPediatric Radiology0101264628VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14100646MEDICAIDMARYLAND
21184716938MEDICAIDVIRGINIA
30001830MEDICAIDNEW JERSEY

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI