Provider Demographics
NPI:1407823826
Name:WEEKS, JOSEPHINE MENDOZA (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPHINE
Middle Name:MENDOZA
Last Name:WEEKS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1150 VARNUM ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20017-2104
Mailing Address - Country:US
Mailing Address - Phone:202-448-4090
Mailing Address - Fax:202-269-4093
Practice Address - Street 1:1150 VARNUM ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20017-2104
Practice Address - Country:US
Practice Address - Phone:202-448-4090
Practice Address - Fax:202-269-4093
Is Sole Proprietor?:No
Enumeration Date:2006-03-03
Last Update Date:2014-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD034646208D00000X, 208000000X
VA0101237466208D00000X
DEC10007571208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC038018400Medicaid
VA010239001Medicaid
I03422Medicare UPIN
DC038018400Medicaid