Healthcare Provider Details

I. General information

NPI: 1760553705
Provider Name (Legal Business Name): CHALONDA KATRICE HILL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/13/2006
Last Update Date: 03/05/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 TH AND C ST SW
WASHINGTON DC
20228-0001
US

IV. Provider business mailing address

14 TH AND C ST SW
WASHINGTON DC
20228-0001
US

V. Phone/Fax

Practice location:
  • Phone: 202-874-2895
  • Fax: 202-874-3106
Mailing address:
  • Phone: 202-874-2895
  • Fax: 202-874-3106

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number35088800
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License NumberMD40229
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: