Provider Demographics
NPI:1659470524
Name:MORDINI, FEDERICO E (MD)
Entity Type:Individual
Prefix:
First Name:FEDERICO
Middle Name:E
Last Name:MORDINI
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 1:4000 MASSACHUSETTS AVE NW APT 1517
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-5136
Mailing Address - Country:US
Mailing Address - Phone:202-802-6181
Mailing Address - Fax:773-409-7383
Practice Address - Street 1:50 IRVING ST NW RM 4A107
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20422-1718
Practice Address - Country:US
Practice Address - Phone:202-745-8000
Practice Address - Fax:202-745-8172
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0061767207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDD0061767OtherMD STATE LIC
MDD0061767OtherMD STATE LIC