MEDICARE: DR. RICHARD B ASHBY M.D.

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	207Q00000X	Family Medicine Physician	MD14687	DC
2	207Q00000X	Family Medicine Physician	0101038598	VA
3	207Q00000X	Family Medicine Physician	D0031326	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912982273
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD B ASHBY M.D.

Provider Business Mailing Address
First Line	:	1647 BENNING RD NE
Second Line	:	SUITE 301/302
City	:	WASHINGTON
State	:	DC
Zip	:	20002-4569
Country	:	US
Telephone Number	:	202-398-2100
Fax Number	:	202-396-4778

Provider Business Practice Location Address
First Line	:	1647 BENNING RD NE
Second Line	:	SUITE 301/302
City	:	WASHINGTON
State	:	DC
Zip	:	20002-4569
Country	:	US
Telephone Number	:	202-398-2100
Fax Number	:	202-396-4778

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

Provider Enumeration Date	:	12/09/2005
Last Update Date	:	02/08/2021

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