Healthcare Provider Details

I. General information

NPI: 1164653143
Provider Name (Legal Business Name): HANNAH NEWBORN SCHOBEL D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2009
Last Update Date: 09/24/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3800 RESERVOIR RD NW BUILDING CCC ROOM CL-60
WASHINGTON DC
20007-2113
US

IV. Provider business mailing address

3800 RESERVOIR RD NW BUILDING CCC ROOM CL-60
WASHINGTON DC
20007-2113
US

V. Phone/Fax

Practice location:
  • Phone: 202-444-6680
  • Fax: 202-444-8854
Mailing address:
  • Phone: 202-444-6680
  • Fax: 202-444-8854

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number184329
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberDO034441
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: