Dora Mamodesene,Md,Pc

LBN: Dora Mamodesene,Md,Pc
Dora Mamodesene,Md,Pc is an health care organization with primary practice located at 7733 Alaska Ave Nw Nw, Washington DC 20012-1421. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Dora Mamodesene,Md,Pc can be contacted via phone (202) 882-5300, or through Mamodesene, Dora M via phone (202) 489-1277.

Contact Information

Primary practice address
7733 Alaska Ave Nw Nw Washington DC 20012-1421
Fax: (301) 989-2276
Website:
Authorized official contact:
Name: Mamodesene, Dora M Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 14222MD District of Columbia
Ambulatory Health Care Facilities / Primary Care 261QP2300X D0029649MD Maryland
Ambulatory Health Care Facilities / Primary Care 261QP2300X 0101035678 Virginia

Profile Details

NPI number 1144454141
LBN Legal business name Dora Mamodesene,Md,Pc
DBA Doing business as
Authorized official Mamodesene, Dora M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 6th, 2009
Last updated May 6th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144454141 NPPES
Maryland Other 000148491 MEDICARE

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