Healthcare Provider Details

I. General information

NPI: 1326338401
Provider Name (Legal Business Name): MICHAEL ALEXANDER KIEFER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: ALEXANDER KIEFER MD

II. Dates (important events)

Enumeration Date: 04/11/2011
Last Update Date: 07/16/2021
Certification Date: 07/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2021 K ST NW STE 605
WASHINGTON DC
20006-1051
US

IV. Provider business mailing address

7500 GREENWAY CENTER DR STE 940
GREENBELT MD
20770-3555
US

V. Phone/Fax

Practice location:
  • Phone: 202-935-6980
  • Fax: 202-935-1925
Mailing address:
  • Phone: 301-718-1082
  • Fax: 301-718-1084

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMD045426
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberMD045426
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: