Provider Demographics
NPI:1861673188
Name:BURKA INTERNAL MEDICINE ASSOCIATES, PA
Entity Type:Organization
Organization Name:BURKA INTERNAL MEDICINE ASSOCIATES, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BARRETT
Authorized Official - Middle Name:LEWIS
Authorized Official - Last Name:BURKA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:202-966-5766
Mailing Address - Street 1:4607 CONNECTICUT AVE NW
Mailing Address - Street 2:006
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20008-5751
Mailing Address - Country:US
Mailing Address - Phone:202-966-5766
Mailing Address - Fax:
Practice Address - Street 1:4607 CONNECTICUT AVE NW
Practice Address - Street 2:006
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20008-5751
Practice Address - Country:US
Practice Address - Phone:202-966-5766
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-15
Last Update Date:2007-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD9170261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty