Individual
RENATE AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
700 2ND ST NE, KAISER PERMANENTE CAPITOL HILL MEDICAL CENTER, WASHINGTON, DC 20002-8100
(202) 346-3000
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLEMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD21250
DC
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
0101054175
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010085578
—
VA
01
—
013951ZDCT
MEDICARE ID NUMBER
DC
05
—
5864259
—
VA
01
—
VAA113375
MEDICARE ID NUMBER
VA
Enumeration date
07/28/2006
Last updated
11/18/2011
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