Healthcare Provider Details

I. General information

NPI: 1417031774
Provider Name (Legal Business Name): CELIA REGINA OLIVEIRA MD, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3301 NEW MEXICO AVE NW SUITE 345
WASHINGTON DC
20016
US

IV. Provider business mailing address

3301 NEW MEXICO AVE NW STE 435
WASHINGTON DC
20016-3622
US

V. Phone/Fax

Practice location:
  • Phone: 202-537-3833
  • Fax: 202-537-3706
Mailing address:
  • Phone: 202-537-3833
  • Fax: 202-537-3706

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License NumberMD17285
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: