Individual
DR. ESTELLE COOKE-SAMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2041 GEORGIA AVE NW STE 6101, WASHINGTON, DC 20060-5441
(202) 865-6679
(202) 865-3138
Mailing address
2041 GEORGIA AVE NW STE 6101, WASHINGTON, DC 20060-0001
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
D0032331
MD
2085R0202X
Diagnostic Radiology Physician
Primary
MD11829
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021654800
—
DC
01
—
2849
B/C B/S
DC
05
—
387951802
—
MD
01
—
J062
B/C B/S
MD
01
—
KA80
B/C B/S
MD
Enumeration date
03/29/2006
Last updated
08/02/2019
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