Healthcare Provider Details

I. General information

NPI: 1326291311
Provider Name (Legal Business Name): JOAN E MYLES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/04/2008
Last Update Date: 08/28/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1525 7TH ST NW
WASHINGTON DC
20001-3201
US

IV. Provider business mailing address

1525 7TH ST NW
WASHINGTON DC
20001-3201
US

V. Phone/Fax

Practice location:
  • Phone: 202-386-7020
  • Fax: 202-265-1970
Mailing address:
  • Phone: 202-265-2400
  • Fax: 202-745-1081

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD037583
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: