NPI 1356859334 · live from the CMS NPI Registry
Providence Health Services, INC
Internal Medicine, Cardiovascular Disease in Washington, DC. National Provider Identifier 1356859334, active.
NPI record
| NPI | 1356859334 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Cardiovascular Disease 207RC0000X |
| Practice location | 1150 Varnum St Ne Ste 300, Washington, DC 20017 |
| Practice phone | 202-854-4830 |
| Mailing address | 1150 Varnum St Ne, St Catherines Hall, Room 102, Washington, DC 20017 |
| Enumerated | January 12, 2018 |
| Last updated | January 12, 2018 |
| Authorized official | Beau Higginbothan, Vice President/Coo |
| Other names | Phs Cardiology |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist | 174400000X | HFD01-0212 (DC) |
| Internal Medicine, Cardiovascular Disease primary | 207RC0000X | HFD01-0212 (DC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.