MEDICARE: DR. EDGAR ANDRES NAVAS 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
1	207R00000X	Internal Medicine Physician	0116020962	VA

General Provider Information

NPI Number	:	1659521029
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDGAR ANDRES NAVAS M.D.

Provider Business Mailing Address
First Line	:	14504 WHIRLAWAY LN
Second Line	:
City	:	NORTH POTOMAC
State	:	MD
Zip	:	20878
Country	:	US
Telephone Number	:	240-888-5422
Fax Number	:

Provider Business Practice Location Address
First Line	:	14504 WHIRLAWAY LN
Second Line	:
City	:	NORTH POTOMAC
State	:	MD
Zip	:	20878-3762
Country	:	US
Telephone Number	:	240-888-5422
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/23/2008
Last Update Date	:	09/23/2008

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