Provider Demographics
NPI:1356857643
Name:CAPITAL DIABETES & ENDOCRINE ASSOCIATES LLC
Entity Type:Organization
Organization Name:CAPITAL DIABETES & ENDOCRINE ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ROMEU
Authorized Official - Middle Name:
Authorized Official - Last Name:AZEVEDO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:202-340-6222
Mailing Address - Street 1:5414 GALENA PL NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-2534
Mailing Address - Country:US
Mailing Address - Phone:202-340-6222
Mailing Address - Fax:
Practice Address - Street 1:5801 ALLENTOWN RD STE 500
Practice Address - Street 2:
Practice Address - City:CAMP SPRINGS
Practice Address - State:MD
Practice Address - Zip Code:20746-4518
Practice Address - Country:US
Practice Address - Phone:301-899-7713
Practice Address - Fax:301-899-9430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-21
Last Update Date:2017-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty