Healthcare Provider Details

I. General information

NPI: 1174722698
Provider Name (Legal Business Name): SARA READ PARKER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2007
Last Update Date: 09/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

439 BUCHANAN ST NW
WASHINGTON DC
20011-4727
US

IV. Provider business mailing address

439 BUCHANAN ST NW
WASHINGTON DC
20011-4727
US

V. Phone/Fax

Practice location:
  • Phone: 202-545-0210
  • Fax:
Mailing address:
  • Phone: 202-545-0210
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD036813
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License Number0101256073
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: