Healthcare Provider Details

I. General information

NPI: 1619187655
Provider Name (Legal Business Name): ENDOCRINE & DIABETES GROUP OF WASHINGTON, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 03/17/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5801 ALLENTOWN RD SUITE 500
SUITLAND MD
20746-4563
US

IV. Provider business mailing address

5801 ALLENTOWN RD SUITE 500
SUITLAND MD
20746-4563
US

V. Phone/Fax

Practice location:
  • Phone: 301-899-7713
  • Fax: 301-934-9321
Mailing address:
  • Phone: 301-899-7713
  • Fax: 301-934-9321

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberD35656
License Number StateMD

VIII. Authorized Official

Name: DR. KARL S SALMAN
Title or Position: DOCTOR
Credential: MD
Phone: 301-899-7713