Organization
GASTROENTEROLOGY AND HEPATOLOGY OF GREATER WASHINGTON INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUZAN EBRAHIMI M.D. (PRESIDENT/MEDICAL DOCTOR)
(301) 613-3069
Entity
Organization
Contact information
Practice address
7247 HANOVER PKWY, GREENBELT, MD 20770-3661
(301) 345-5531
(301) 345-5608
Mailing address
PO BOX 70602, BETHESDA, MD 20813-0602
(301) 345-5513
(301) 345-5608
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
D0080759
MD
Other
Enumeration date
01/08/2016
Last updated
01/08/2016
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