Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Phs Medical Specialists Pmb107

Organization Infectious Disease Physician · NPI 1457693012

Phs Medical Specialists Pmb107 is an Infectious Disease Physician in Washington, District of Columbia. Licensed in District of Columbia. Registered with an NPI since 2013.

Licensed in
DC
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

1140 Varnum St NE PMB107
Washington, DC 20017-2151
Phone: (202) 854-4052
Fax: (202) 854-4832
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Infectious Disease Physician (primary) Taxonomy 207RI0200X · Licence HFD01-0212 (DC)
General Acute Care Hospital Taxonomy 282N00000X · Licence HFD01-0212 (DC)

Record details

NPI number1457693012
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationProvidence Hospital
Authorized official Charles Haberkern — Vp · (202) 854-4255
Other names Providence Health Services
NPI enumeratedMarch 21, 2013
Last updated in NPPESSeptember 6, 2016
Mailing address1160 Varnum St Ne, St Catherine'S Hall, Room 102, Washington, DC 20017-2107

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