Provider Demographics
NPI:1568523082
Name:EMANUEL, E W (MD)
Entity Type:Individual
Prefix:DR
First Name:E W
Middle Name:
Last Name:EMANUEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 2ND ST NE FL 6
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-8108
Mailing Address - Country:US
Mailing Address - Phone:023-346-3000
Mailing Address - Fax:
Practice Address - Street 1:700 2ND ST NE FL 6
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-8108
Practice Address - Country:US
Practice Address - Phone:023-346-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2021-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD34559207V00000X
DCMD31512207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
H71059Medicare UPIN
010325M92Medicare ID - Type Unspecified