Individual
MS. SHEVEL SANTANYA DACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2639 CONNECTICUT AVE NW STE C100, WASHINGTON, DC 20008-1593
(202) 588-1878
(301) 417-4948
Mailing address
15245 SHADY GROVE RD STE 340, ROCKVILLE, MD 20850-7201
(301) 869-9776
(301) 417-4947
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD600004187
DC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2022
Last updated
07/28/2025
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