Individual
DR. PRABHA VISWANATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 MICHIGAN AVE NW, SUITE 100 FLOOR 3.5 WEST WING, WASHINGTON, DC 20010-2916
(202) 476-6151
(202) 476-3850
Mailing address
111 MICHIGAN AVE NW, SUITE 100 FLOOR 3.5 WEST WING, WASHINGTON, DC 20010-2916
(202) 476-6151
(202) 476-3850
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
MD038822
DC
Other
Enumeration date
07/13/2006
Last updated
07/31/2012
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