1285158840 NPI number — DR. CHELSI LASHEA FLIPPO MD

Table of content: DR. CHELSI LASHEA FLIPPO MD (NPI 1285158840)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285158840 NPI number — DR. CHELSI LASHEA FLIPPO MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FLIPPO
Provider First Name:
CHELSI
Provider Middle Name:
LASHEA
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

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:
1285158840
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/19/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10 CENTER DRIVE MSC 1103 BLDG 10CRC RM 2 EAST -5130
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BETHESDA
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20892-1103
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-451-1466
Provider Business Mailing Address Fax Number:
301-480-0378

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10 CENTER DRIVE MSC 1103 BLDG 10CRC RM 2 EAST -5130
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BETHESDA
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20892
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-451-1466
Provider Business Practice Location Address Fax Number:
301-480-0378
Provider Enumeration Date:
07/26/2017

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2080P0205X , with the licence number:  MD045966 , 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)