Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 026437 | MD |
N | 207RN0300X | Nephrologist | MD12866 | DC |
NPI | 1033103114 |
---|---|
Provider Name | Dr. Steve A Burka |
First Address | Great Falls, VA 22066-0016 |
Second Address | Chevy Chase, MD 20815-4404 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2005 |
Last Update Date | 03/10/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
031280800 | (05) | DC |
307231200 | (05) | MD |
D05812 | (02) |