Provider Demographics
NPI:1336111459
Name:WASHINGTON HOSPITAL CENTER
Entity Type:Organization
Organization Name:WASHINGTON HOSPITAL CENTER
Other - Org Name:NUCLEAR MEDICINE, WHC PHYSICIANS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:VANNOSTRAND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:202-877-6066
Mailing Address - Street 1:PO BOX 631702
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21263-1702
Mailing Address - Country:US
Mailing Address - Phone:301-562-7881
Mailing Address - Fax:301-587-1489
Practice Address - Street 1:110 IRVING ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2976
Practice Address - Country:US
Practice Address - Phone:202-877-6066
Practice Address - Fax:202-877-6601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-02
Last Update Date:2008-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207U00000XAllopathic & Osteopathic PhysiciansNuclear MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC504296Medicare PIN