Healthcare Provider Details

I. General information

NPI: 1598027294
Provider Name (Legal Business Name): ASHLEY INCIARDI HUPPE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ASHLEY DAWN INCIARDI MD

II. Dates (important events)

Enumeration Date: 06/09/2012
Last Update Date: 06/05/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 M ST NW
WASHINGTON DC
20037-1434
US

IV. Provider business mailing address

2300 M ST. NW
WASHINGTON DC
20037
US

V. Phone/Fax

Practice location:
  • Phone: 202-741-3031
  • Fax: 202-742-3029
Mailing address:
  • Phone: 202-741-3031
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number9407899
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberMD044916
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: