Provider Demographics
NPI:1447392659
Name:HOWELL, SHAWN MONIQUE (MD)
Entity Type:Individual
Prefix:DR
First Name:SHAWN
Middle Name:MONIQUE
Last Name:HOWELL
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 1:2311 M ST NW
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-1445
Mailing Address - Country:US
Mailing Address - Phone:202-466-3000
Mailing Address - Fax:202-466-3001
Practice Address - Street 1:2311 M ST NW
Practice Address - Street 2:SUITE 101
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-1445
Practice Address - Country:US
Practice Address - Phone:202-466-3000
Practice Address - Fax:202-466-3001
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0068688207RC0000X
VA0101259414207RC0000X, 207RI0011X
DCMD035397207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC039282900Medicaid
MD413831701Medicaid
MD413831701Medicaid
DC039282900Medicaid