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NPI Code Detail

MEDICARE: MICHAEL K KASSA PHARMDD.

MEDICARE: MICHAEL K KASSA PHARMDD.
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
1183500000XPharmacistPH100002220DC

General Provider Information

NPI Number : 1396356945
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL K KASSA PHARMDD.
Provider Business Mailing Address
First Line : 801 7TH ST NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20001-3717
Country : US
Telephone Number : 202-789-5345
Fax Number : 202-789-4192
Provider Business Practice Location Address
First Line : 801 7TH ST NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20001-3717
Country : US
Telephone Number : 202-789-5345
Fax Number : 202-789-4192
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2020
Last Update Date : 08/16/2020

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Directions to “ MICHAEL K KASSA PHARMDD.” Practice Location

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