Individual
PREETI ROUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
106 IRVING ST NW, SUITE 208, WASHINGTON, DC 20010-2927
(202) 722-6040
(202) 722-6042
Mailing address
7342 HOOKING RD, MC LEAN, VA 22101-2718
(301) 537-5518
(703) 288-0536
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
229874
MA
207RN0300X
Nephrology Physician
0101248549
VA
207RN0300X
Nephrology Physician
D0072850
MD
207RN0300X
Nephrology Physician
Primary
MD041824
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184779076
—
VA
Enumeration date
01/24/2007
Last updated
06/17/2014
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