Provider Demographics
NPI:1346389988
Name:GREATER WASHINGTON EMERGENCY PHYSICIANS CHARTERED
Entity Type:Organization
Organization Name:GREATER WASHINGTON EMERGENCY PHYSICIANS CHARTERED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:DR
Authorized Official - First Name:ARVIND
Authorized Official - Middle Name:
Authorized Official - Last Name:NARASIMHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:202-549-7680
Mailing Address - Street 1:PO BOX 500
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:VA
Mailing Address - Zip Code:20116-0500
Mailing Address - Country:US
Mailing Address - Phone:540-389-3620
Mailing Address - Fax:
Practice Address - Street 1:11711 LIVINGSTON RD
Practice Address - Street 2:
Practice Address - City:FORT WASHINGTON
Practice Address - State:MD
Practice Address - Zip Code:20744-5151
Practice Address - Country:US
Practice Address - Phone:540-389-3620
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2019-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD079903300Medicaid
DCCG2248OtherRR MEDICARE
DCH914OtherBLUE SHIELD DC
MDLK41OtherBLUE SHIELD MD
DC027064800Medicaid
DC027064800Medicaid