Doris Pablo-Bustos, Md Pc
LBN: Doris Pablo-Bustos, Md Pc
Doris Pablo-Bustos, Md Pc is an health care organization with primary practice located at 1140 Varnum St Ne Providence Medical Bldg Ste 202, Washington DC 20017-2151. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Managed Care Organizations / Health Maintenance Organization, Managed Care Organizations / Preferred Provider Organization. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Doris Pablo-Bustos, Md Pc can be contacted via phone (202) 269-6430, or through Pablo-Bustos, Doris V via phone (202) 269-6430.
Contact Information
Primary practice address
1140 Varnum St Ne Providence Medical Bldg Ste 202
Washington DC 20017-2151
Phone: (202) 269-6430
Fax: (202) 269-6598
Website:
Authorized official contact:
Name: Pablo-Bustos, Doris V Doctor of Medicine (MD)
Phone: (202) 269-6430
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Managed Care Organizations / Health Maintenance Organization | 302R00000X | ||
| Managed Care Organizations / Preferred Provider Organization | 305R00000X |
Profile Details
| NPI number | 1659553253 |
|---|---|
| LBN Legal business name | Doris Pablo-Bustos, Md Pc |
| DBA Doing business as | Doris Pablo-Bustos, Md Pc |
| Authorized official | Pablo-Bustos, Doris V Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 5th, 2007 |
| Last updated | Sep 24th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659553253 | NPPES |
| District of Columbia | Other | G00861 | MEDICARE |
| District of Columbia | MEDICAID | 050883700 | MEDICARE |
| District of Columbia | Other | DA9514 | MEDICARE |
| District of Columbia | MEDICAID | 1659553253 | MEDICARE |
| District of Columbia | MEDICAID | 553223000 | MEDICARE |
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