Healthcare Provider Details

I. General information

NPI: 1750312575
Provider Name (Legal Business Name): ALAN B BIRNKRANT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2311 M ST NW SUITE 304
WASHINGTON DC
20037-1445
US

IV. Provider business mailing address

2311 M ST NW SUITE 304
WASHINGTON DC
20037-1445
US

V. Phone/Fax

Practice location:
  • Phone: 202-466-4800
  • Fax: 202-466-4808
Mailing address:
  • Phone: 202-466-4800
  • Fax: 202-466-4808

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberMD16551
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: