Healthcare Provider Details

I. General information

NPI: 1316089642
Provider Name (Legal Business Name): MARGARET ROBERTS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2007
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1221 TAYLOR ST NW
WASHINGTON DC
20011-5617
US

IV. Provider business mailing address

1221 TAYLOR ST NW
WASHINGTON DC
20011-5617
US

V. Phone/Fax

Practice location:
  • Phone: 202-464-9200
  • Fax: 202-464-5740
Mailing address:
  • Phone: 202-464-9200
  • Fax: 202-464-5740

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD18683
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: