Frederick, Wayne Ai

Frederick, Wayne Ai is an individual health care provider with primary practice located at 2041 Georgia Ave Nw Ste 4000, Washington DC 20060-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Oncology, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgical Oncology is his primary health care specialty. Frederick, Wayne Ai can be contacted via phone (202) 865-6237.

Contact Information

Primary practice address
2041 Georgia Ave Nw Ste 4000 Washington DC 20060-0001
Phone: (202) 865-6237
Fax: (860) 679-1390
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X MD30905 District of Columbia
Allopathic & Osteopathic Physicians / Surgery 208600000X MD30905 District of Columbia
Allopathic & Osteopathic Physicians / Surgery 208600000X 041334 Connecticut

Profile Details

NPI number 1962408252
LBN Legal business name Frederick, Wayne Ai
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Sep 23rd, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962408252 NPPES
Virginia MEDICAID 010266505
Virginia MEDICAID 037841900
Virginia MEDICAID 410159600

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