NPI 1215098504 · live from the CMS NPI Registry
John Lichtenberger, M.D.
Radiology, Diagnostic Radiology in Washington, DC. National Provider Identifier 1215098504, active.
NPI record
| NPI | 1215098504 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | Gw Medical Faculty Associates, INC, 900 23rd St Nw, Washington, DC 20037 |
| Practice phone | 202-715-5189 |
| Mailing address | 900 23rd St Nw Ofc G-113, Washington, DC 20037 |
| Enumerated | December 12, 2006 |
| Last updated | July 24, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military Health Care Provider | 171000000X | — |
| Radiology, Diagnostic Radiology | 2085R0202X | 243064 (MA) |
| Radiology, Diagnostic Radiology | 2085R0202X | A119028 (CA) |
| Radiology, Diagnostic Radiology primary | 2085R0202X | MD046109 (DC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.