Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD049102 | DC |
N | 111NI0900X | Internist | MD049102 | DC |
N | 207RC0200X | Critical Care Medicine | MD049102 | DC |
Y | 207RP1001X | Pulmonary Disease | MD049102 | DC |
NPI | 1033554605 |
---|---|
Provider Name | Ian M Oppenheim |
First Address | Washington, DC 20007-2113 |
Second Address | Washington, DC 20007-2113 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2013 |
Last Update Date | 08/04/2021 |