1396973459 NPI number — THE GEORGE WASHINGTON UNIVERSITY MEDICAL CENTER

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1396973459 NPI number — THE GEORGE WASHINGTON UNIVERSITY MEDICAL CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE GEORGE WASHINGTON UNIVERSITY MEDICAL CENTER
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1396973459
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/29/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2400 S GLEBE RD
Provider Second Line Business Mailing Address:
APT. 712
Provider Business Mailing Address City Name:
ARLINGTON
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
22206-2526
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
508-685-1132
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2400 S GLEBE RD
Provider Second Line Business Practice Location Address:
APT. 712
Provider Business Practice Location Address City Name:
ARLINGTON
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22206-2526
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-685-1132
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/29/2009

Additional Information

Authorized Official

Authorized Official Last Name:
MAKHOUL
Authorized Official First Name:
RAMI
Authorized Official Middle Name:
Authorized Official Title or Position:
RESIDENT
Authorized Official Telephone Number:
508-685-1132

Provider Taxonomy Codes

  • Taxonomy code: 282N00000X , registered in the state of DC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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