Pak, Wanda

Pak, Wanda is an sole proprietor health care provider with primary practice located at 3301 New Mexico Ave Nw Suite 226, Washington DC 20016-3622. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Pak, Wanda can be contacted via phone (202) 244-9404.

Contact Information

Primary practice address
3301 New Mexico Ave Nw Suite 226 Washington DC 20016-3622
Phone: (202) 244-9404
Fax: (202) 244-9403
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X M 32178 District of Columbia
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X D 005640 Maryland

Profile Details

NPI number 1609804293
LBN Legal business name Pak, Wanda
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2006
Last updated Jul 8th, 2007 - about 18 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 1609804293 NPPES
District of Columbia Other M 32178 STATE MEDICAL LICENSE
District of Columbia Other D005640 STATE MEDICAL LICENSE

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