Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | MD11694 | DC |
NPI | 1023062627 |
---|---|
Provider Name | Dr. Stefan Dosa |
First Address | Bethesda, MD 20814-2636 |
Second Address | Washington, DC 20037-2543 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2006 |
Last Update Date | 16/06/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010230400 | (05) | DC |
C61455 | (02) | DC |