Provider Demographics
NPI:1124193479
Name:WASHINGTON NEPHROLOGY ASSOCIATES, L.L.P.
Entity Type:Organization
Organization Name:WASHINGTON NEPHROLOGY ASSOCIATES, L.L.P.
Other - Org Name:WASHINGTON NEPHROLOGY ASSOCIATES
Other - Org Type:Other Name
Authorized Official - Title/Position:CREDENTIALS COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:LANGFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-907-3939
Mailing Address - Street 1:1201 SEVEN LOCKS RD STE 200A
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20854-2931
Mailing Address - Country:US
Mailing Address - Phone:301-907-3939
Mailing Address - Fax:301-656-3943
Practice Address - Street 1:1201 SEVEN LOCKS RD STE 200
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20854-2960
Practice Address - Country:US
Practice Address - Phone:301-907-4646
Practice Address - Fax:301-907-7796
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-22
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0024706207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA9035OtherRAILROAD MEDICARE
CN0881OtherRAILROAD MEDICARE
DE5304OtherRAILROAD MEDICARE
CA0020OtherRAILROAD MEDICARE
CB3806OtherRAILROAD MEDICARE
CN0881OtherRAILROAD MEDICARE
CA9035OtherRAILROAD MEDICARE
DE5304OtherRAILROAD MEDICARE
CA0020OtherRAILROAD MEDICARE