Healthcare Provider Details

I. General information

NPI: 1437219177
Provider Name (Legal Business Name): LAURA K HEID M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6900 GEORGIA AVE NW DEPT OF OBSTETRICS AND GYNECOLOGY
WASHINGTON DC
20307-0003
US

IV. Provider business mailing address

6900 GEORGIA AVE.N.W. DEPT OF OBSTETRICS AND GYNECOLOGY
WASHINGTON DC
20307
US

V. Phone/Fax

Practice location:
  • Phone: 202-782-6114
  • Fax: 202-782-8133
Mailing address:
  • Phone: 202-782-6114
  • Fax: 202-782-8133

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberD0047552
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: