Individual
MARTIN STANLEY KNELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 23RD ST NW, WASHINGTON, DC 20037-2342
(202) 715-5164
(202) 741-3396
Mailing address
2150 PENNSYLVANIA AVE NW, WASHINGTON, DC 20037-3201
(202) 741-3333
(202) 741-3396
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
MD4034
DC
2085N0904X
Nuclear Radiology Physician
MD4034
DC
2085R0202X
Diagnostic Radiology Physician
MD4034
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026177900
—
DC
Enumeration date
11/13/2006
Last updated
09/19/2017
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