Provider Demographics
NPI:1881792612
Name:WRAMC
Entity type:Organization
Organization Name:WRAMC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FELLOW, HEM-ONC
Authorized Official - Prefix:DR
Authorized Official - First Name:CONSUELITO
Authorized Official - Middle Name:A
Authorized Official - Last Name:MEDRANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-782-5753
Mailing Address - Street 1:5225 POOKS HILL RD
Mailing Address - Street 2:APT 811 SOUTH
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-2052
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6900 GEORGIA AVE NW
Practice Address - Street 2:HEM-ONC CLINIC, WD 78
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20307-0003
Practice Address - Country:US
Practice Address - Phone:202-782-5753
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA84744286500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes286500000XHospitalsMilitary Hospital