Healthcare Provider Details

I. General information

NPI: 1841750775
Provider Name (Legal Business Name): DR. MICHELE S SARUWATARI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/25/2019
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 MICHIGAN AVE NW STE W4-200
WASHINGTON DC
20010-2916
US

IV. Provider business mailing address

111 MICHIGAN AVE NW STE W4-200
WASHINGTON DC
20010-2916
US

V. Phone/Fax

Practice location:
  • Phone: 202-476-2151
  • Fax: 202-476-4174
Mailing address:
  • Phone: 202-476-2151
  • Fax: 202-476-4174

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMD200001354
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: