Provider Demographics
NPI:1194817973
Name:MULHAUSER, JOEL CARL (MD)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:CARL
Last Name:MULHAUSER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3052 GARRISON ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20008-1050
Mailing Address - Country:US
Mailing Address - Phone:202-966-6154
Mailing Address - Fax:202-244-9567
Practice Address - Street 1:3052 GARRISON ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20008-1050
Practice Address - Country:US
Practice Address - Phone:202-966-6154
Practice Address - Fax:202-244-9567
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-29
Last Update Date:2018-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD7048207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC000G24D32Medicare UPIN