Healthcare Provider Details
I. General information
NPI: 1609874494
Provider Name (Legal Business Name): DAVID A. SCHESSEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X
II. Dates (important events)
Enumeration Date: 07/14/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2021 K ST NW SUITE 206
WASHINGTON DC
20006-1003
US
IV. Provider business mailing address
2021 K ST NW SUITE 206
WASHINGTON DC
20006-1003
US
V. Phone/Fax
- Phone: 202-785-5000
- Fax: 202-785-5040
- Phone: 202-785-5000
- Fax: 202-785-5040
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207YX0901X |
| Taxonomy | Otology & Neurotology Physician |
| License Number | MD19503 |
| License Number State | DC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: