Provider Demographics
NPI:1477698777
Name:APUD, JOSE ANTONIO (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:ANTONIO
Last Name:APUD
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Gender:M
Credentials:MD, PHD
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Mailing Address - Street 1:10307 SNOWPINE WAY
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-3940
Mailing Address - Country:US
Mailing Address - Phone:301-299-1353
Mailing Address - Fax:703-573-4262
Practice Address - Street 1:8303 ARLINGTON BLVD STE 205
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-2903
Practice Address - Country:US
Practice Address - Phone:703-560-0050
Practice Address - Fax:703-573-4262
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA01010534202084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry