Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | MD044848 | DC |
N | 207RX0202X | Medical Oncology | MD051316L | PA |
NPI | 1013939206 |
---|---|
Provider Name | Dr. Mitchell Reed Smith |
First Address | Washington, DC 20052 |
Second Address | Washington, DC 20037 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2006 |
Last Update Date | 24/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0014361900001 | (05) | PA |
E41447 | (02) | PA |