Individual
VICTORIA FEDOROVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1160 VARNUM ST NE, DEPAUL 021, WASHINGTON, DC 20017-2107
(202) 854-7785
(202) 854-7734
Mailing address
1150 VARNUM ST NE, ST. CATHERINE'S HALL/1ST FLOOR/ROOM 102, WASHINGTON, DC 20017-2104
(202) 854-4812
(202) 854-7825
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD043513
DC
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD043513
DC
Other
Enumeration date
06/27/2012
Last updated
02/14/2017
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