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CAPITAL INTERNAL MEDICINE & GERIATRICS LLC NPI 1104325760


NPI Information

NPI: 1104325760
Provider Name: CAPITAL INTERNAL MEDICINE & GERIATRICS LLC
Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
106 IRVING ST NW STE 211
WASHINGTON, DC
ZIP 20010
Phone: (202) 722-0149
Get Directions

CAPITAL INTERNAL MEDICINE & GERIATRICS LLC is a geriatric medicine internal medicine in Washington, DC. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. CAPITAL INTERNAL MEDICINE & GERIATRICS LLC NPI is 1104325760. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

106 IRVING ST NW STE 211
WASHINGTON, DC
ZIP 20010-993
Phone: (202) 722-0149

The provider's authorized official is Raj Mathur .
The authorized official title is Md and has the following contact phone number (301) 520-4318.

The enumeration date for this NPI number is 2/8/2018 and was last updated on 8/11/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineMD036400DISTRICT OF COLUMBIANo
2207R00000XInternal MedicineD0065086MARYLANDNo
3207R00000XInternal Medicine0101240111VIRGINIANo
4207RG0300XInternal MedicineGeriatric MedicineD0042403MARYLANDNo
5207RG0300XInternal MedicineGeriatric Medicine0101054105VIRGINIANo
6207RG0300XInternal MedicineGeriatric MedicineMD19927DISTRICT OF COLUMBIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1010371400MEDICAIDDISTRICT OF COLUMBIA
2405924700MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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