Healthcare Provider Details

I. General information

NPI: 1255454773
Provider Name (Legal Business Name): HUDA MONTEMARANO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HUDA ABDALATI MD

II. Dates (important events)

Enumeration Date: 04/09/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 MICHIGAN AVE NW DIAGNOSTIC IMAGING & RADIOLOGY
WASHINGTON DC
20010-2970
US

IV. Provider business mailing address

6612 MARYWOOD RD
BETHESDA MD
20817-2204
US

V. Phone/Fax

Practice location:
  • Phone: 202-884-5630
  • Fax: 202-884-3644
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085P0229X
TaxonomyPediatric Radiology Physician
License NumberMD21884
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: