Healthcare Provider Details

I. General information

NPI: 1497379002
Provider Name (Legal Business Name): ALEXANDRA SNYDER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2020
Last Update Date: 07/16/2025
Certification Date: 07/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 IRVING ST NW
WASHINGTON DC
20010-2927
US

IV. Provider business mailing address

106 IRVING ST NW STE 405
WASHINGTON DC
20010-2989
US

V. Phone/Fax

Practice location:
  • Phone: 202-877-7101
  • Fax:
Mailing address:
  • Phone: 609-751-1331
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number0116033751
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD500002458
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: