MEDICARE: DR. SANDRA IRENE READ 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	207N00000X	Dermatology Physician	12986	DC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3689	OTHER	DC	BCBS

General Provider Information

NPI Number	:	1407828601
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SANDRA IRENE READ MD

Provider Business Mailing Address
First Line	:	3301 NEW MEXICO AVE NW STE 210
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20016-3627
Country	:	US
Telephone Number	:	202-363-9600
Fax Number	:	202-363-9601

Provider Business Practice Location Address
First Line	:	3301 NEW MEXICO AVE NW STE 210
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20016-3627
Country	:	US
Telephone Number	:	202-363-9600
Fax Number	:	202-363-9601

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

Provider Enumeration Date	:	02/02/2006
Last Update Date	:	03/15/2023

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