MEDICARE: DR. VIRGINIA M THOMPSON M.D.

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	305R00000X	Preferred Provider Organization	MD17018	DC

General Provider Information

NPI Number	:	1336225051
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VIRGINIA M THOMPSON M.D.

Provider Business Mailing Address
First Line	:	2440 M ST NW STE 420
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20037-1449
Country	:	US
Telephone Number	:	202-296-7963
Fax Number	:	202-331-1649

Provider Business Practice Location Address
First Line	:	2440 M ST NW STE 420
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20037-1449
Country	:	US
Telephone Number	:	202-296-7963
Fax Number	:	202-331-1649

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

Provider Enumeration Date	:	10/27/2006
Last Update Date	:	07/30/2008

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