Provider Demographics
NPI:1013939206
Name:SMITH, MITCHELL REED (MD)
Entity Type:Individual
Prefix:DR
First Name:MITCHELL
Middle Name:REED
Last Name:SMITH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:800 22ND ST. NW, SUITE 8000
Mailing Address - Street 2:GEORGE WASHINGTON UNIVERSITY CANCER CENTER
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20052
Mailing Address - Country:US
Mailing Address - Phone:202-994-0329
Mailing Address - Fax:215-728-3639
Practice Address - Street 1:2150 PENNSYLVANIA AVENUE, SUITE 1-200
Practice Address - Street 2:GEORGE WASHINGTON UNIVERSITY CANCER CENTER
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037
Practice Address - Country:US
Practice Address - Phone:202-741-2487
Practice Address - Fax:215-728-3639
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2017-02-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD051316L207RX0202X
DCMD044848207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0014361900001Medicaid
PAE41447Medicare UPIN
PA449421GJSMedicare PIN