MEDICARE: CAPITAL PULMONARY INTERNISTS PC

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
1	207R00000X	Internal Medicine Physician	MD13891	DC
2	207RP1001X	Pulmonary Disease Physician	MD13325	DC
3	207RP1001X	Pulmonary Disease Physician	MD12803	DC
4	207R00000X	Internal Medicine Physician	MD14045	DC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	290009292	OTHER	DC	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558351163
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAPITAL PULMONARY INTERNISTS PC

Provider Business Mailing Address
First Line	:	2440 M ST NW
Second Line	:	#810
City	:	WASHINGTON
State	:	DC
Zip	:	20037-1475
Country	:	US
Telephone Number	:	202-833-3000
Fax Number	:	202-835-9040

Provider Business Practice Location Address
First Line	:	2440 M ST NW
Second Line	:	#810
City	:	WASHINGTON
State	:	DC
Zip	:	20037-1475
Country	:	US
Telephone Number	:	202-833-3000
Fax Number	:	202-835-9040

Authorized Official
Title or Position	:	BILLING MANAGER
Name	:	MRS. BROOKE D GROSS
Credential	:
Telephone Number	:	202-296-4686

Provider Enumeration Date	:	10/25/2005
Last Update Date	:	09/04/2008

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Directions to “CAPITAL PULMONARY INTERNISTS PC ” Practice Location

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