MEDICARE: DR. SHERENE WALEK MD

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	208000000X	Pediatrics Physician	MD200001403	DC

General Provider Information

NPI Number	:	1265991004
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHERENE WALEK MD

Provider Business Mailing Address
First Line	:	3301 NEW MEXICO AVE NW STE 220
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20016-3627
Country	:	US
Telephone Number	:	202-537-1180
Fax Number	:	202-244-7410

Provider Business Practice Location Address
First Line	:	3301 NEW MEXICO AVE NW STE 220
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20016-3627
Country	:	US
Telephone Number	:	202-537-1180
Fax Number	:	202-244-7410

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2019
Last Update Date	:	01/22/2025

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