Healthcare Provider Details

I. General information

NPI: 1881755668
Provider Name (Legal Business Name): ELIZABETH PAJEL BERBANO MD, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/13/2006
Last Update Date: 07/11/2025
Certification Date: 07/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8901 WISCONSIN AVE DEPARTMENT OF MEDICINE
BETHESDA MD
20889-0001
US

IV. Provider business mailing address

8901 WISCONSIN AVE DEPARTMENT OF MEDICINE
BETHESDA MD
20889-0001
US

V. Phone/Fax

Practice location:
  • Phone: 301-295-0196
  • Fax: 301-400-0609
Mailing address:
  • Phone: 301-295-0196
  • Fax: 301-400-0609

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number9131
License Number StateHI
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number0101241268
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: