Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | MD36271 | DC |
NPI | 1023275229 |
---|---|
Provider Name | Dr. Sara Dereath Collins |
First Address | Washington, DC 20017-2107 |
Second Address | Washington, DC 20017-2107 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2008 |
Last Update Date | 15/09/2020 |