Serrano, Mariastella

Serrano, Mariastella is an individual health care provider with primary practice located at 4200 Wisconsin Ave Nw Ste 400 , Washington DC 20016-2100. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as her primary health care specialty. Serrano, Mariastella can be contacted via phone (202) 243-3558.

Contact Information

Primary practice address
4200 Wisconsin Ave Nw Ste 400 Washington DC 20016-2100
Phone: (202) 243-3558
Fax: (877) 680-5504
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X MD045865 District of Columbia

Profile Details

NPI number 1922080126
LBN Legal business name Serrano, Mariastella
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated Aug 31st, 2023 - about 2 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 1922080126 NPPES
Iowa MEDICAID 0435776
Iowa MEDICAID 1113905
Iowa MEDICAID 08172388

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