Provider Demographics
NPI:1003071770
Name:FAMILY PODIATRY OF DC
Entity type:Organization
Organization Name:FAMILY PODIATRY OF DC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:B
Authorized Official - Last Name:PUPLAMPU
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:202-725-1159
Mailing Address - Street 1:PO BOX 282
Mailing Address - Street 2:
Mailing Address - City:OAKTON
Mailing Address - State:VA
Mailing Address - Zip Code:22124-0282
Mailing Address - Country:US
Mailing Address - Phone:202-726-5387
Mailing Address - Fax:202-726-5387
Practice Address - Street 1:3450 FORT MEADE RD
Practice Address - Street 2:SUITE 210
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20724-2040
Practice Address - Country:US
Practice Address - Phone:202-726-5387
Practice Address - Fax:202-726-5387
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-22
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPO579332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCU7210Medicare UPIN