Provider Demographics
NPI:1184752149
Name:CORBETT, AYSHA LYNETTE (MD)
Entity type:Individual
Prefix:MS
First Name:AYSHA
Middle Name:LYNETTE
Last Name:CORBETT
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1220 12TH ST SE STE 120
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20003-3733
Mailing Address - Country:US
Mailing Address - Phone:202-715-7911
Mailing Address - Fax:202-543-0293
Practice Address - Street 1:1500 GALEN ST SE FL 3
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-4913
Practice Address - Country:US
Practice Address - Phone:202-610-7160
Practice Address - Fax:202-548-8600
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2018-01-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
DCMD33871207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine