MEDICARE: THOMAS BARBA PACHECO

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	2084P0800X	Psychiatry Physician	MD600004193	DC
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1679223218
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS BARBA PACHECO

Provider Business Mailing Address
First Line	:	3700 MASSACHUSETTS AVE NW APT 419
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20016-5807
Country	:	US
Telephone Number	:	202-630-5705
Fax Number	:	329-777-5351

Provider Business Practice Location Address
First Line	:	1350 CONNECTICUT AVE NW STE 402
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20036-1761
Country	:	US
Telephone Number	:	202-630-5705
Fax Number	:	329-777-5351

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

Provider Enumeration Date	:	03/26/2022
Last Update Date	:	05/27/2026

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Directions to “ THOMAS BARBA PACHECO ” Practice Location

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