Provider Demographics
NPI:1265991004
Name:WALEK, SHERENE (MD)
Entity type:Individual
Prefix:DR
First Name:SHERENE
Middle Name:
Last Name:WALEK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SHERENE
Other - Middle Name:
Other - Last Name:AGAMA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3301 NEW MEXICO AVE NW STE 220
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-3627
Mailing Address - Country:US
Mailing Address - Phone:202-537-1180
Mailing Address - Fax:202-244-7410
Practice Address - Street 1:3301 NEW MEXICO AVE NW STE 220
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-3627
Practice Address - Country:US
Practice Address - Phone:202-537-1180
Practice Address - Fax:202-244-7410
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-19
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD200001403208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty