NPI 1376555771 · live from the CMS NPI Registry
Ira David Shocket, MD
Internal Medicine, Gastroenterology in Washington, DC. National Provider Identifier 1376555771, active.
NPI record
| NPI | 1376555771 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 106 Irving St Nw, Ste 205, Washington, DC 20010 |
| Practice phone | 202-829-0170 |
| Mailing address | Po Box 37229, Baltimore, MD 21297 |
| Enumerated | August 13, 2006 |
| Last updated | October 31, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Gastroenterology primary | 207RG0100X | MD19539 (DC) |
| Internal Medicine, Gastroenterology | 207RG0100X | D0043028 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.