Provider Demographics
NPI:1669001699
Name:MARGULIES, ILANA GREENE (MD, MS)
Entity Type:Individual
Prefix:
First Name:ILANA
Middle Name:GREENE
Last Name:MARGULIES
Suffix:
Gender:F
Credentials:MD, MS
Other - Prefix:
Other - First Name:ILANA
Other - Middle Name:LEOR
Other - Last Name:GREENE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3800 RESERVOIR RD NW DEPT OF
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20007-2113
Mailing Address - Country:US
Mailing Address - Phone:202-444-7563
Mailing Address - Fax:202-444-7204
Practice Address - Street 1:3800 RESERVOIR RD NW DEPT OF
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007-2113
Practice Address - Country:US
Practice Address - Phone:202-444-7563
Practice Address - Fax:202-444-7204
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-02
Last Update Date:2020-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program