Healthcare Provider Details

I. General information

NPI: 1790871044
Provider Name (Legal Business Name): ELEANOR SMITH-KHURI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2021 K ST NW
WASHINGTON DC
20006-1003
US

IV. Provider business mailing address

12211 PLUM ORCHARD DR STE 220
SILVER SPRING MD
20904-7919
US

V. Phone/Fax

Practice location:
  • Phone: 202-833-4686
  • Fax: 202-833-8977
Mailing address:
  • Phone: 301-754-3060
  • Fax: 301-681-0789

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD036207
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: