Healthcare Provider Details

I. General information

NPI: 1942396171
Provider Name (Legal Business Name): DORAN FINK MD, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 06/08/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 MICHIGAN AVE NW
WASHINGTON DC
20010-2978
US

IV. Provider business mailing address

10903 NEW HAMPSHIRE AVE WHITE OAK 71, ROOM 3311 (HFM-475)
SILVER SPRING MD
20903-1058
US

V. Phone/Fax

Practice location:
  • Phone: 202-476-6151
  • Fax:
Mailing address:
  • Phone: 301-796-1159
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0208X
TaxonomyPediatric Infectious Diseases Physician
License NumberMD035959
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: