Healthcare Provider Details

I. General information

NPI: 1962414037
Provider Name (Legal Business Name): THOMAS HANSSON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2006
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1629 K ST NW STE 300
WASHINGTON DC
20006-1631
US

IV. Provider business mailing address

1607 16TH ST NW APT 4
WASHINGTON DC
20009-3005
US

V. Phone/Fax

Practice location:
  • Phone: 202-380-3654
  • Fax:
Mailing address:
  • Phone: 202-415-7566
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD046166
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: