Healthcare Provider Details

I. General information

NPI: 1962511089
Provider Name (Legal Business Name): DEBORAH WILLIAMS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 11/25/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2041 GEORGIA NWAVE
WASHINGTON DC
20060-0001
US

IV. Provider business mailing address

2024 GEORGIA NW AVE 2ND
WASHINGTON DC
20001-3027
US

V. Phone/Fax

Practice location:
  • Phone: 202-865-1967
  • Fax: 202-865-1076
Mailing address:
  • Phone: 202-865-6679
  • Fax: 202-865-1617

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMD16416
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: