Organization
SHEPHERD PARK MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMIRA RAZZAK BADAWAY (OFFICE MANAGER)
(202) 882-5300
Entity
Organization
Contact information
Practice address
7733 ALASKA AVE NW, WASHINGTON, DC 20012-1421
(202) 882-5300
(202) 882-3758
Mailing address
7733 ALASKA AVE NW, WASHINGTON, DC 20012-1421
(202) 882-5300
(202) 882-3758
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MD16145
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024734400
—
DC
Enumeration date
02/24/2016
Last updated
02/24/2016
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