Healthcare Provider Details
I. General information
NPI: 1881646776
Provider Name (Legal Business Name): RITA L SVEC M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: X
II. Dates (important events)
Enumeration Date: 05/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
WALTER REED ARMY MEDICAL CENTER 6900 GEORGIA AVE NW
WASHINGTON DC
20307-0001
US
IV. Provider business mailing address
125 EASTMOOR DR
SILVER SPRING MD
20901-1508
US
V. Phone/Fax
- Phone: 202-782-0055
- Fax:
- Phone: 301-754-1858
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2080P0205X |
| Taxonomy | Pediatric Endocrinology Physician |
| License Number | D34416 |
| License Number State | MD |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: