Provider Demographics
NPI:1407818800
Name:WEST, ARTHUR NELSON (MD)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:NELSON
Last Name:WEST
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1160 VARNUM ST NE
Mailing Address - Street 2:311
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20017-2107
Mailing Address - Country:US
Mailing Address - Phone:202-832-2880
Mailing Address - Fax:202-832-0456
Practice Address - Street 1:1160 VARNUM ST NE
Practice Address - Street 2:311
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20017-2107
Practice Address - Country:US
Practice Address - Phone:202-832-2880
Practice Address - Fax:202-832-0456
Is Sole Proprietor?:No
Enumeration Date:2006-04-03
Last Update Date:2013-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD14799207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
163042G79Medicare ID - Type Unspecified
C88066Medicare UPIN