Provider Demographics
NPI:1326356791
Name:NATIONAL INSTITUTES OF HEALTH
Entity Type:Organization
Organization Name:NATIONAL INSTITUTES OF HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BILL
Authorized Official - Middle Name:
Authorized Official - Last Name:DAHUT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-496-4916
Mailing Address - Street 1:10 CENTER DRIVE
Mailing Address - Street 2:NATIONAL CANCER INSTITUTE, BLG 10, RM 12N226
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20892
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10 CENTER DRIVE
Practice Address - Street 2:NATIONAL CANCER INSTITUTE, BLG 10, RM 12N226
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892
Practice Address - Country:US
Practice Address - Phone:301-496-4916
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-20
Last Update Date:2010-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY257278284300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital