NPI 1467565192 · live from the CMS NPI Registry
Kristine Adell Dettloff, M.D.
Radiology, Diagnostic Radiology in Washington, DC. National Provider Identifier 1467565192, active.
NPI record
| NPI | 1467565192 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 2041 Georgia Ave Nw Ste 1r84, Washington, DC 20060 |
| Practice phone | 202-865-1900 |
| Mailing address | 4850 Chevy Chase Dr, Chevy Chase, MD 20815 |
| Enumerated | August 16, 2006 |
| Last updated | March 15, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology | 2085R0202X | D7050588 (MD) |
| Radiology, Diagnostic Radiology primary | 2085R0202X | MD037715 (DC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.