Healthcare Provider Details
I. General information
NPI: 1891086823
Provider Name (Legal Business Name): JULIA KATHLEEN AZIZ M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/25/2011
Last Update Date: 04/27/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2150 PENNSYLVANIA AVE NW
WASHINGTON DC
20037-3201
US
IV. Provider business mailing address
2150 PENNSYLVANIA AVE NW
WASHINGTON DC
20037-3201
US
V. Phone/Fax
- Phone: 202-741-2700
- Fax:
- Phone: 202-741-3000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | MD042692 |
| License Number State | DC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: