Individual
SETH KREVAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3800 RESERVOIR ROAD, NW 5 PHC, MEDSTAR GEORGETOWN UNIV HOSPITAL - DEPT OF MEDICINE, WASHINGTON, DC 20007
(202) 244-9869
Mailing address
5000 OVERLOOK RD NW, WASHINGTON, DC 20016-1912
(202) 450-4562
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00042764
WA
208M00000X
Hospitalist Physician
Primary
MD00042764
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039581
LABOR AND INDUSTRIES #
WA
01
—
5878KR
BLUE SHIELD #
WA
05
—
8357188
—
WA
01
—
P00172793
RAILROAD MC#
WA
01
—
US7459519
AETNA SPECIALIST PIN
WA
Enumeration date
02/01/2007
Last updated
10/08/2014
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