Provider Demographics
NPI:1528009347
Name:WASHINGTON CARDIOVASCULAR SPECIALISTS, P.C.
Entity Type:Organization
Organization Name:WASHINGTON CARDIOVASCULAR SPECIALISTS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:E
Authorized Official - Last Name:WATKINS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:202-726-7474
Mailing Address - Street 1:106 IRVING STREET NW
Mailing Address - Street 2:#3200 N
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010
Mailing Address - Country:US
Mailing Address - Phone:202-726-7474
Mailing Address - Fax:202-726-0193
Practice Address - Street 1:106 IRVING STREET NW
Practice Address - Street 2:#3200 N
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010
Practice Address - Country:US
Practice Address - Phone:202-726-7474
Practice Address - Fax:202-726-0193
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-10
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC022470400Medicaid
184985Medicare ID - Type Unspecified