Healthcare Provider Details

I. General information

NPI: 1497332399
Provider Name (Legal Business Name): STEPHANIE MURTI STARK DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: STEPHANIE MURTI

II. Dates (important events)

Enumeration Date: 03/26/2021
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3800 RESERVOIR RD NW DEPT OF
WASHINGTON DC
20007-2113
US

IV. Provider business mailing address

8555 16TH ST STE 310
SILVER SPRING MD
20910-2802
US

V. Phone/Fax

Practice location:
  • Phone: 202-444-8525
  • Fax: 877-245-1499
Mailing address:
  • Phone: 301-562-7200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberDO0210012637
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: