Provider Demographics
NPI:1891857488
Name:PHILIP ASSATOURIANS MD PLLC
Entity Type:Organization
Organization Name:PHILIP ASSATOURIANS MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:
Authorized Official - Last Name:ASSATOURIANS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-221-5809
Mailing Address - Street 1:2141 K ST NW
Mailing Address - Street 2:SUITE 606
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-1810
Mailing Address - Country:US
Mailing Address - Phone:202-223-2283
Mailing Address - Fax:202-887-0150
Practice Address - Street 1:2141 K ST NW
Practice Address - Street 2:SUITE 606
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-1810
Practice Address - Country:US
Practice Address - Phone:202-223-2283
Practice Address - Fax:202-887-0150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-14
Last Update Date:2008-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD6083207R00000X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCD83916Medicare UPIN
DCG02472Medicare PIN