Individual
DR. BRIAN PABLO BUSTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1140 VARNUM ST NE STE 202, WASHINGTON, DC 20017-2153
(202) 269-6430
(202) 269-6598
Mailing address
1140 VARNUM ST NE STE 202, WASHINGTON, DC 20017-2153
(202) 269-6430
(202) 269-6598
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
79324
CT
207RN0300X
Nephrology Physician
0101286594
VA
207RN0300X
Nephrology Physician
D0103759
MD
207RN0300X
Nephrology Physician
Primary
MD600004069
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
070107673
—
DC
05
—
387742600
—
MD
Enumeration date
04/06/2020
Last updated
12/09/2025
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