Provider Demographics
NPI:1285824516
Name:HERSH, ELIZABETH KLEIN (MD)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:KLEIN
Last Name:HERSH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2015 R ST NW
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-1075
Mailing Address - Country:US
Mailing Address - Phone:202-333-3835
Mailing Address - Fax:202-232-2650
Practice Address - Street 1:2015 R ST NW
Practice Address - Street 2:SUITE 100
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-1075
Practice Address - Country:US
Practice Address - Phone:202-333-3835
Practice Address - Fax:202-232-2650
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-01
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DCMD131172084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCH35970Medicare UPIN