Healthcare Provider Details

I. General information

NPI: 1093913477
Provider Name (Legal Business Name): DR. ANJU PABBY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2007
Last Update Date: 06/18/2025
Certification Date: 06/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1828 L ST NW STE 850
WASHINGTON DC
20036-5111
US

IV. Provider business mailing address

1828 L ST NW STE 850
WASHINGTON DC
20036-5111
US

V. Phone/Fax

Practice location:
  • Phone: 202-822-9591
  • Fax: 202-775-1857
Mailing address:
  • Phone: 202-822-9591
  • Fax: 202-775-1857

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State

VIII. Authorized Official

Name: DALE H ISAACSON
Title or Position: EMPLOYEE
Credential: MD
Phone: 202-822-9591