Healthcare Provider Details

I. General information

NPI: 1609860105
Provider Name (Legal Business Name): CARLOS E. SLUZKI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/12/2005
Last Update Date: 06/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5302 SHERIER PL NW
WASHINGTON DC
20016-2508
US

IV. Provider business mailing address

5302 SHERIER PL NW
WASHINGTON DC
20016-2508
US

V. Phone/Fax

Practice location:
  • Phone: 202-255-0458
  • Fax: 703-993-1943
Mailing address:
  • Phone: 202-255-0458
  • Fax: 703-993-1943

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD035156
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: