Healthcare Provider Details

I. General information

NPI: 1053473199
Provider Name (Legal Business Name): NICHOLE ANN PARDO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/14/2006
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5215 LOUGHBORO RD NW SUITE 500
WASHINGTON DC
20016-2618
US

IV. Provider business mailing address

5215 LOUGHBORO RD NW SUITE 500
WASHINGTON DC
20016-2618
US

V. Phone/Fax

Practice location:
  • Phone: 202-243-3500
  • Fax: 202-966-8441
Mailing address:
  • Phone: 202-243-3500
  • Fax: 202-966-8441

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD034723
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: