Healthcare Provider Details

I. General information

NPI: 1164527552
Provider Name (Legal Business Name): ROBERT P. WILLIAMS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/13/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1140 VARNUM STREET N.E SUITE 201
WASHINGTON D.C. DC
20017-2153
US

IV. Provider business mailing address

1140 VARNUM STREET N.E SUITE 201
WASHINGTON D.C. DC
20017-2153
US

V. Phone/Fax

Practice location:
  • Phone: 202-529-4535
  • Fax: 202-635-4247
Mailing address:
  • Phone: 202-529-4535
  • Fax: 202-635-4247

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberMD13374
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: