Provider Demographics
NPI:1447385539
Name:PRASTEIN, DEYANIRA JEREZ (MD)
Entity Type:Individual
Prefix:DR
First Name:DEYANIRA
Middle Name:JEREZ
Last Name:PRASTEIN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2131 K ST NW FL 7
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-1881
Mailing Address - Country:US
Mailing Address - Phone:202-715-5700
Mailing Address - Fax:202-741-3603
Practice Address - Street 1:2131 K ST NW FL 7
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-1881
Practice Address - Country:US
Practice Address - Phone:202-715-5700
Practice Address - Fax:202-741-3603
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY293810208G00000X
DCMD210003054208G00000X
NC2009-01129208G00000X
SCMD37713208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)