Healthcare Provider Details

I. General information

NPI: 1891357893
Provider Name (Legal Business Name): CHRISTINA PU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2019
Last Update Date: 03/12/2025
Certification Date: 03/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1730 RHODE ISLAND AVENUE NW SUITE 502
WASHINGTON DC
20036
US

IV. Provider business mailing address

1300 I ST NW SUITE 400 E
WASHINGTON DC DC
20005
US

V. Phone/Fax

Practice location:
  • Phone: 202-902-7324
  • Fax: 848-213-0063
Mailing address:
  • Phone: 202-902-7324
  • Fax: 848-213-0063

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD600003417
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number0101284613
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberD0102650
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: