MEDICARE: WASHINGTON NEPHROLOGY ASSOCIATES, L.L.P.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RN0300X	Nephrology Physician

General Provider Information

NPI Number	:	1154129807
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WASHINGTON NEPHROLOGY ASSOCIATES, L.L.P.

Provider Business Mailing Address
First Line	:	1201 SEVEN LOCKS RD STE 200A
Second Line	:
City	:	ROCKVILLE
State	:	MD
Zip	:	20854-2931
Country	:	US
Telephone Number	:	301-907-3939
Fax Number	:	301-656-3943

Provider Business Practice Location Address
First Line	:	7610 CARROLL AVE STE 270
Second Line	:
City	:	TAKOMA PARK
State	:	MD
Zip	:	20912-6302
Country	:	US
Telephone Number	:	301-270-4360
Fax Number	:	301-270-4319

Authorized Official
Title or Position	:	CREDENTIALS COORDINATOR
Name	:	LINDA LANGFORD
Credential	:
Telephone Number	:	301-907-3939

Provider Enumeration Date	:	03/06/2025
Last Update Date	:	03/06/2025

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