| Diseasebusters | |
|
4200 Harewood Rd Ne Washington DC 20017-1511 | |
| (202) 269-1831 | |
| (202) 832-6341 |
| Full Name | Diseasebusters |
|---|---|
| Speciality | Internal Medicine |
| Location | 4200 Harewood Rd Ne, Washington, District Of Columbia |
| Authorized Official Name and Position | Marc Shepard (PRES) |
| Authorized Official Contact | 3016485836 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diseasebusters 5122 Strathmore Ave Rockville MD 20852-3483 Ph: (301) 648-5836 | Diseasebusters 4200 Harewood Rd Ne Washington DC 20017-1511 Ph: (202) 269-1831 |
| NPI Number | 1598390049 |
|---|---|
| Provider Enumeration Date | 03/05/2020 |
| Last Update Date | 04/21/2020 |
| Certification Date | 04/21/2020 |
| Medicare PECOS PAC ID | 8921421330 |
|---|---|
| Medicare Enrollment ID | O20200701002665 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598390049 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Marc Shepard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770673824 PECOS PAC ID: 5193802700 Enrollment ID: I20080407000656 |
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