Provider Demographics
NPI:1083673222
Name:HOWARD, DOMINIQUE E (MD)
Entity Type:Individual
Prefix:DR
First Name:DOMINIQUE
Middle Name:E
Last Name:HOWARD
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:12510 PROSPERITY DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-1663
Mailing Address - Country:US
Mailing Address - Phone:240-485-5200
Mailing Address - Fax:301-625-6906
Practice Address - Street 1:2021 K ST NW
Practice Address - Street 2:SUITE T-110
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-1003
Practice Address - Country:US
Practice Address - Phone:202-296-3449
Practice Address - Fax:202-296-9122
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2016-06-28
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Provider Licenses
StateLicense IDTaxonomies
MDD0060885207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDD0060885OtherSTATE LICENSE
MDH92890Medicare UPIN
012206M45Medicare PIN