Healthcare Provider Details

I. General information

NPI: 1376870964
Provider Name (Legal Business Name): ANA PAUNOVIC M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/03/2009
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10215 FERNWOOD RD STE 404
BETHESDA MD
20817-1191
US

IV. Provider business mailing address

10215 FERNWOOD RD STE 404
BETHESDA MD
20817-1191
US

V. Phone/Fax

Practice location:
  • Phone: 301-923-1338
  • Fax: 301-985-2309
Mailing address:
  • Phone: 301-923-1338
  • Fax: 301-985-2309

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD042475
License Number StateDC
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberD79560
License Number StateMD
# 4
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberD75960
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: