Healthcare Provider Details

I. General information

NPI: 1144641713
Provider Name (Legal Business Name): CAPITAL CONSULTING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/26/2013
Last Update Date: 12/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1140 VARNUM ST NE PMB 105
WASHINGTON DC
20017-2151
US

IV. Provider business mailing address

1140 VARNUM ST NE PMB 105
WASHINGTON DC
20017-2151
US

V. Phone/Fax

Practice location:
  • Phone: 202-269-6430
  • Fax: 202-269-6598
Mailing address:
  • Phone: 202-269-6430
  • Fax: 202-269-6598

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number0101029746
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberD0059511
License Number StateMD
# 3
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberMD10759
License Number StateDC

VIII. Authorized Official

Name: KAMALJIT SETHI
Title or Position: PHYSICIAN
Credential: MD
Phone: 703-819-4810