Individual
LOUISA WALL WHITESIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2150 PENNSYLVANIA AVE NW, WASHINGTON, DC 20037-3201
(202) 741-2191
Mailing address
2150 PENNSYLVANIA AVE NW, WASHINGTON, DC 20037-3201
(202) 741-2191
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD047091
DC
207R00000X
Internal Medicine Physician
MD07091
DC
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD047091
DC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2016
Last updated
05/19/2021
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