Healthcare Provider Details

I. General information

NPI: 1558378331
Provider Name (Legal Business Name): ALLISON W. WARREN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2006
Last Update Date: 06/03/2025
Certification Date: 06/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 17TH ST NW STE 1250
WASHINGTON DC
20006-2517
US

IV. Provider business mailing address

5530 WISCONSIN AVE STE 700
CHEVY CHASE MD
20815-4401
US

V. Phone/Fax

Practice location:
  • Phone: 301-656-5050
  • Fax: 301-654-4237
Mailing address:
  • Phone: 301-656-5050
  • Fax: 301-654-4237

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License NumberD0063549
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License NumberMD035573
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: