Provider Demographics
NPI:1992864094
Name:CAPITAL MEDICAL ASSOCIATES, PC
Entity Type:Organization
Organization Name:CAPITAL MEDICAL ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:SEYMOUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-822-6311
Mailing Address - Street 1:1640 RHODE ISLAND AVE NW STE 800
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-3214
Mailing Address - Country:US
Mailing Address - Phone:202-822-6311
Mailing Address - Fax:202-822-6313
Practice Address - Street 1:1640 RHODE ISLAND AVE NW STE 800
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-3214
Practice Address - Country:US
Practice Address - Phone:202-822-6311
Practice Address - Fax:202-822-6313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD15084174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty