Healthcare Provider Details
I. General information
NPI: 1073571519
Provider Name (Legal Business Name): NANCY ANN DAWSON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/03/2006
Last Update Date: 03/20/2024
Certification Date: 03/20/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3800 RESERVOIR RD NW
WASHINGTON DC
20007-2113
US
IV. Provider business mailing address
7508 VALE ST
CHEVY CHASE MD
20815-4004
US
V. Phone/Fax
- Phone: 202-444-2223
- Fax: 202-444-9429
- Phone: 301-325-1068
- Fax: 202-444-9429
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RH0003X |
| Taxonomy | Hematology & Oncology Physician |
| License Number | D0031586 |
| License Number State | MD |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RX0202X |
| Taxonomy | Medical Oncology Physician |
| License Number | MD036496 |
| License Number State | DC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: