Healthcare Provider Details

I. General information

NPI: 1033322730
Provider Name (Legal Business Name): MELVIN WALKER WILLIAMS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3020 14TH STREET NW SUITE 402B
WASHINGTON DC
20009
US

IV. Provider business mailing address

3020 14TH STREET NW SUITE 402B
WASHINGTON DC
20009
US

V. Phone/Fax

Practice location:
  • Phone: 202-745-4300
  • Fax: 202-232-0723
Mailing address:
  • Phone: 202-745-4300
  • Fax: 202-232-0723

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD25482
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: