| Bustos And Associates | |
|
1140 Varnum St Ne Pmb 202 Washington DC 20017-2151 | |
| (202) 269-6430 | |
| (202) 269-6598 |
| Full Name | Bustos And Associates |
|---|---|
| Speciality | Specialist |
| Location | 1140 Varnum St Ne Pmb 202, Washington, District Of Columbia |
| Authorized Official Name and Position | Elwin G Bustos (CEO) |
| Authorized Official Contact | 2022696430 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bustos And Associates 1140 Varnum St Ne Pmb 202 Washington DC 20017-2151 Ph: (202) 269-6430 | Bustos And Associates 1140 Varnum St Ne Pmb 202 Washington DC 20017-2151 Ph: (202) 269-6430 |
| NPI Number | 1922335561 |
|---|---|
| Provider Enumeration Date | 11/03/2009 |
| Last Update Date | 10/11/2024 |
| Medicare PECOS PAC ID | 3274627633 |
|---|---|
| Medicare Enrollment ID | O20100113000316 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922335561 | NPI | - | NPPES |
| 099023600 | Medicaid | DC | |
| D0042936 | Other | MD | LICENSE |
| 055092400 | Medicaid | DC | |
| 0101048655 | Other | VA | LICENSE |
| 011630100 | Medicaid | DC | |
| MD19909 | Other | DC | LICENSE |
| Provider Name | Elwin G Bustos |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1467543686 PECOS PAC ID: 7517008584 Enrollment ID: I20100113000295 |
| Provider Name | Antonina Y Kolesnikova |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1598932592 PECOS PAC ID: 1254472251 Enrollment ID: I20100113000530 |
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