is a Cardiovascular Disease in Washington, District Of Columbia. practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for is 1750548657. The last update date is .
's current location address is 1160 Varnum St Ne, Washington, District Of Columbia. You can contact this provider via phone number 2022699249 and fax number 2022699271. The mailing address for is 1160 Varnum St Ne, Washington, District Of Columbia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 1160 Varnum St Ne, Washington, District Of Columbia |
| Phone Number | 2022699249 |
| Fax Number | 2022699271 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1750548657 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 1160 Varnum St Ne |
|---|---|
| City | Washington |
| State | District Of Columbia (DC) |
| Post Code | 200172107 |
| Phone Number | 2022699249 |
| Fax Number | 2022699271 |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular Disease |
|---|---|
| Taxonomy | 207Rc0000X |
| Licence No | MD17118 |
|
Definition: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 27063100 | DC | -- | |
| 1639195407 | DC | NPI INDIVIDUAL |
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