MEDICARE: JA'NAY MICHELLE CHATMAN P.A.

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	363A00000X	Physician Assistant	PA030530	DC

General Provider Information

NPI Number	:	1376790113
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JA'NAY MICHELLE CHATMAN P.A.

Provider Business Mailing Address
First Line	:	1220 12TH ST SE
Second Line	:	SUITE 120
City	:	WASHINGTON
State	:	DC
Zip	:	20003-3722
Country	:	US
Telephone Number	:	202-715-7900
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 GALEN ST SE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20020-4936
Country	:	US
Telephone Number	:	202-715-7900
Fax Number	:

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

Provider Enumeration Date	:	08/23/2008
Last Update Date	:	06/28/2012

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