Provider Demographics
NPI:1326509746
Name:GONZALEZ, ADRIANNA (MD)
Entity Type:Individual
Prefix:DR
First Name:ADRIANNA
Middle Name:
Last Name:GONZALEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ADRIANNA
Other - Middle Name:
Other - Last Name:GONZALEZ LOPEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2150 PENNSYLVANIA AVE NW STE 2B-430
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-3201
Mailing Address - Country:US
Mailing Address - Phone:202-741-2600
Mailing Address - Fax:
Practice Address - Street 1:900 17TH ST NW STE 300
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-2506
Practice Address - Country:US
Practice Address - Phone:202-659-2223
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-28
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD210011847207N00000X
DC005823207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology