Healthcare Provider Details

I. General information

NPI: 1538332770
Provider Name (Legal Business Name): ROBERT H. WILLIAMS, M.D.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2008
Last Update Date: 04/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2041 GEORGIA AVE NW SUITE 2322
WASHINGTON DC
20060-0001
US

IV. Provider business mailing address

2041 GEORGIA AVE NW SUITE 2322
WASHINGTON DC
20060-0001
US

V. Phone/Fax

Practice location:
  • Phone: 202-865-4203
  • Fax: 202-865-3338
Mailing address:
  • Phone: 202-865-4203
  • Fax: 202-865-3338

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License NumberMD3766
License Number StateDC

VIII. Authorized Official

Name: DR. ROBERT HENRY WILLIAMS
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 202-865-3324