Provider Demographics
NPI:1922444215
Name:NOELLE STARR SHERBER MD LLC
Entity Type:Organization
Organization Name:NOELLE STARR SHERBER MD LLC
Other - Org Name:SHERBER AND RAD LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NOELLE
Authorized Official - Middle Name:S
Authorized Official - Last Name:SHERBER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:202-517-7299
Mailing Address - Street 1:1101 15TH ST NW
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20005-5002
Mailing Address - Country:US
Mailing Address - Phone:202-517-7299
Mailing Address - Fax:202-517-7444
Practice Address - Street 1:1101 15TH ST NW
Practice Address - Street 2:SUITE 100
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20005-5002
Practice Address - Country:US
Practice Address - Phone:202-517-7299
Practice Address - Fax:202-517-7444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-14
Last Update Date:2015-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101250733207N00000X
VA0101250650208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Multi-Specialty
No208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Multi-Specialty