Healthcare Provider Details

I. General information

NPI: 1275776973
Provider Name (Legal Business Name): XIMENA ALEXANDRA PINELL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/09/2009
Last Update Date: 05/14/2024
Certification Date: 05/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3050 K ST NW STE W170
WASHINGTON DC
20007-5108
US

IV. Provider business mailing address

1364 CLIFTON RD NE
ATLANTA GA
30322-1059
US

V. Phone/Fax

Practice location:
  • Phone: 202-966-9590
  • Fax: 202-966-9596
Mailing address:
  • Phone: 404-727-5658
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberMD045911
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: