Individual
DR. NICKOLAUS MENDJUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
WEST END MEDICAL CENTER, 2100 W PENNSYLVANIA AVE, WASHINGTON, DC 20037-3201
(202) 872-7232
(202) 872-7212
Mailing address
KAISER PERMANENTE MID ATLANTIC PERMANENTE GROUP PC, 2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNIT 6W, ROCKVILLE, MD 20852-4908
(301) 816-6660
(301) 816-6308
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101032769
VA
207R00000X
Internal Medicine Physician
D14888
MD
207R00000X
Internal Medicine Physician
Primary
MD3540
DC
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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