Individual
GINA CHERI PERVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
616 H ST NW, LOWER LEVEL, WASHINGTON, DC 20001-5800
(202) 636-7153
(202) 636-7180
Mailing address
2903 SAINT REGIS WAY, MITCHELLVILLE, MD 20721-2595
(301) 390-8799
(301) 218-2445
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20302
DC
207R00000X
Internal Medicine Physician
D48015
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20302
LICENSE
DC
01
—
D48015
LICENSE
MD
Enumeration date
04/06/2007
Last updated
07/27/2010
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