Provider Demographics
NPI:1851516462
Name:CAPITAL MEDICAL SERVICES PLLC
Entity Type:Organization
Organization Name:CAPITAL MEDICAL SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TANYA
Authorized Official - Middle Name:C
Authorized Official - Last Name:LUMPKINS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-891-0616
Mailing Address - Street 1:7610 CARROLL AVENUE
Mailing Address - Street 2:SUITE 320
Mailing Address - City:TAKOMA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20912
Mailing Address - Country:US
Mailing Address - Phone:301-891-0616
Mailing Address - Fax:301-891-0617
Practice Address - Street 1:7610 CARROLL AVENUE
Practice Address - Street 2:SUITE 320
Practice Address - City:TAKOMA PARK
Practice Address - State:MD
Practice Address - Zip Code:20912
Practice Address - Country:US
Practice Address - Phone:301-891-0616
Practice Address - Fax:301-891-0617
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0044321207RR0500X
DCMD17907208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Multi-Specialty
Not Answered208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC5217OtherBCBS
DC5217OtherBCBS