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NPI Code Detail

MEDICARE: MS. TULANI WASHINGTON PLASKETT M.D.

MEDICARE: MS. TULANI WASHINGTON PLASKETT M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician80584GA
2207RI0011XInterventional Cardiology PhysicianD0100889MD
3207RC0000XCardiovascular Disease PhysicianD0100889MD

General Provider Information

NPI Number : 1033504279
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TULANI WASHINGTON PLASKETT M.D.
Provider Business Mailing Address
First Line : 12070 OLD LINE CTR STE 303
Second Line :
City : WALDORF
State : MD
Zip : 20602-3535
Country : US
Telephone Number : 301-645-5100
Fax Number :
Provider Business Practice Location Address
First Line : 12070 OLD LINE CTR STE 303
Second Line :
City : WALDORF
State : MD
Zip : 20602-3535
Country : US
Telephone Number : 301-645-5100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2015
Last Update Date : 11/01/2024

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