Healthcare Provider Details

I. General information

NPI: 1518223072
Provider Name (Legal Business Name): JUNE CAI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/09/2012
Last Update Date: 04/09/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9000 ROCKVILLE PIKE NIH BLDG 10, OP9
BETHESDA MD
20892-0001
US

IV. Provider business mailing address

10903 NEW HAMPSHIRE AVE BLDG 22, RM#6470
SILVER SPRING MD
20903-1058
US

V. Phone/Fax

Practice location:
  • Phone: 240-601-4713
  • Fax:
Mailing address:
  • Phone: 301-796-1049
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD20376
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code2084P0015X
TaxonomyPsychosomatic Medicine Physician
License NumberMD30276
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: