Healthcare Provider Details

I. General information

NPI: 1548444078
Provider Name (Legal Business Name): BURCIN UYGUNGIL FRASER M.D./M.P.H.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BURCIN UYGUNGIL MD

II. Dates (important events)

Enumeration Date: 12/19/2007
Last Update Date: 06/08/2021
Certification Date: 06/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8401 CONNECTICUT AVE STE 220
CHEVY CHASE MD
20815-5829
US

IV. Provider business mailing address

8401 CONNECTICUT AVE STE 220
CHEVY CHASE MD
20815-5829
US

V. Phone/Fax

Practice location:
  • Phone: 301-453-2530
  • Fax:
Mailing address:
  • Phone: 301-453-2530
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License NumberMD041100
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License Number0101266736
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License NumberD0076003
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: