Healthcare Provider Details

I. General information

NPI: 1396301354
Provider Name (Legal Business Name): SELIN SAKARCAN RUGGIERI DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2019
Last Update Date: 05/19/2023
Certification Date: 05/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3301 NEW MEXICO AVE NW STE 232
WASHINGTON DC
20016-3610
US

IV. Provider business mailing address

3301 NEW MEXICO AVE NW STE 232
WASHINGTON DC
20016-3610
US

V. Phone/Fax

Practice location:
  • Phone: 202-966-4811
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberPO50083002
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: