Organization
DBH- SAINT ELIZABETHS HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAROOQ MOHYUDDIN M.D. (DIRECTOR PSYCHIATRY RESIDENCY)
(202) 299-5360
Entity
Organization
Contact information
Practice address
1100 ALABAMA AVE SE, SAINT ELIZABETHS HOSPITAL-DBH ROOM # 238.01, WASHINGTON, DC 20032
(202) 299-5360
Mailing address
3901 SUITLAND RD, APT# 1014, SUITLAND, MD 20746-1955
(559) 905-0332
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
MTL002903
DC
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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