Organization
MICHAEL H THEODOULOU
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL H THEODOULOU DPM (PRESIDENT)
(202) 237-0038
Entity
Organization
Contact information
Practice address
3301 NEW MEXICO AVE NW, STE 221, WASHINGTON, DC 20016-3622
(202) 237-0038
(202) 237-2551
Mailing address
3301 NEW MEXICO AVE NW, STE 221, WASHINGTON, DC 20016-3622
(202) 237-0038
(202) 237-2551
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
P0558
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020331900
—
MD
Enumeration date
04/29/2008
Last updated
04/29/2008
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