Healthcare Provider Details

I. General information

NPI: 1285253153
Provider Name (Legal Business Name): D'ANDRE WILLIAMS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/10/2020
Last Update Date: 08/11/2025
Certification Date: 08/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 IRVING ST NW STE 3150
WASHINGTON DC
20010-2934
US

IV. Provider business mailing address

106 IRVING ST NW STE 3150
WASHINGTON DC
20010-2934
US

V. Phone/Fax

Practice location:
  • Phone: 202-877-0275
  • Fax:
Mailing address:
  • Phone: 202-877-0275
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberMD600004654
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: