MEDICARE: ENDOCRINE & DIABETES GROUP OF WASHINGTON, PC

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	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	D35656	MD

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	CA3109	OTHER	MD	RAIL ROAD MEDICARE GROUP

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	460000842	OTHER	MD	RAIL ROAD MEDIARE

General Provider Information

NPI Number	:	1619187655
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ENDOCRINE & DIABETES GROUP OF WASHINGTON, PC

Provider Business Mailing Address
First Line	:	5801 ALLENTOWN RD
Second Line	:	SUITE 500
City	:	SUITLAND
State	:	MD
Zip	:	20746-4563
Country	:	US
Telephone Number	:	301-899-7713
Fax Number	:	301-934-9321

Provider Business Practice Location Address
First Line	:	5801 ALLENTOWN RD
Second Line	:	SUITE 500
City	:	SUITLAND
State	:	MD
Zip	:	20746-4563
Country	:	US
Telephone Number	:	301-899-7713
Fax Number	:	301-934-9321

Authorized Official
Title or Position	:	DOCTOR
Name	:	DR. KARL S SALMAN
Credential	:	MD
Telephone Number	:	301-899-7713

Provider Enumeration Date	:	05/22/2007
Last Update Date	:	03/17/2010

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