Provider Demographics
NPI:1891011995
Name:LANGDON, RAQUEL (MD)
Entity Type:Individual
Prefix:
First Name:RAQUEL
Middle Name:
Last Name:LANGDON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:RAQUEL
Other - Middle Name:
Other - Last Name:BERNIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:111 MICHIGAN AVE NW
Mailing Address - Street 2:DEPT OF NEUROLOGY, SUITE 400 W
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-2916
Mailing Address - Country:US
Mailing Address - Phone:202-476-2120
Mailing Address - Fax:202-476-2864
Practice Address - Street 1:111 MICHIGAN AVE NW
Practice Address - Street 2:NEUROLOGY DEPT, SUITE 400 W
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2916
Practice Address - Country:US
Practice Address - Phone:202-476-2120
Practice Address - Fax:202-476-2864
Is Sole Proprietor?:No
Enumeration Date:2010-04-14
Last Update Date:2016-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD0408312084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology