Provider Demographics
NPI:1669942983
Name:IT HOSPITALIST SERVICES
Entity type:Organization
Organization Name:IT HOSPITALIST SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MBR
Authorized Official - Prefix:DR
Authorized Official - First Name:ISMAEL
Authorized Official - Middle Name:H
Authorized Official - Last Name:TURA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:206-434-8591
Mailing Address - Street 1:7772 WATER ST
Mailing Address - Street 2:
Mailing Address - City:FULTON
Mailing Address - State:MD
Mailing Address - Zip Code:20759-2558
Mailing Address - Country:US
Mailing Address - Phone:206-434-8591
Mailing Address - Fax:
Practice Address - Street 1:UNITED MEDICAL CENTER
Practice Address - Street 2:1310 SOUTHERN AVE., SE
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032-4623
Practice Address - Country:US
Practice Address - Phone:202-574-6000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-29
Last Update Date:2018-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDD75476OtherMEDICAL LICENSE