MEDICARE: JAY ALAN OCUIN 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	207RN0300X	Nephrology Physician	MD9363	DC

General Provider Information

NPI Number	:	1841286689
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAY ALAN OCUIN MD

Provider Business Mailing Address
First Line	:	106 IRVING ST NW
Second Line	:	STE 418
City	:	WASHINGTON
State	:	DC
Zip	:	20010-2927
Country	:	US
Telephone Number	:	202-882-2500
Fax Number	:	202-726-8076

Provider Business Practice Location Address
First Line	:	106 IRVING ST NW
Second Line	:	STE 418
City	:	WASHINGTON
State	:	DC
Zip	:	20010-2927
Country	:	US
Telephone Number	:	202-882-2500
Fax Number	:	202-726-8076

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

Provider Enumeration Date	:	09/27/2005
Last Update Date	:	07/08/2007

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