Healthcare Provider Details

I. General information

NPI: 1497788400
Provider Name (Legal Business Name): GAIL NUNLEE-BLAND MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 03/21/2023
Certification Date: 03/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2041 GEOERGIA AVENUE, NW DIABETES TREATMENT CTR
WASHINGTON DC
20060-0001
US

IV. Provider business mailing address

2041 GEORGIA AVE NW STE 3400
WASHINGTON DC
20060-0001
US

V. Phone/Fax

Practice location:
  • Phone: 202-865-3350
  • Fax: 202-865-3495
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0205X
TaxonomyPediatric Endocrinology Physician
License NumberMD13721
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: