MARGARITA E. KULLICK MD NPI 1114999497

NPI Information

NPI: 1114999497
Provider Name: MARGARITA E. KULLICK, MD
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

Organization: DHHS PHS NAIHS CHINLE COMPREHENSIVE HEALTH CARE FACILITY

PECOS Registration: Yes

Address:
1140 VARNUM STREET NE.
SUITE 203
WASHINGTON, DC
ZIP 20017
Phone: (202) 832-7774
Get Directions

Margarita E. Kullick, MD is a nephrology internal medicine in Washington, DC with 50 years of experience. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. Margarita E. Kullick, MD NPI is 1114999497. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1140 VARNUM STREET NE.
SUITE 203
WASHINGTON, DC
ZIP 20017-153
Phone: (202) 832-7774
Fax: (202) 526-0386

The NPI 1114999497 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/2/2006 and was last updated on 3/13/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		MD13853	DISTRICT OF COLUMBIA	No
2	174400000X	Specialist		D24665	MARYLAND	No
3	207RN0300X	Internal Medicine	Nephrology	MD13853	DISTRICT OF COLUMBIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0736691	OTHER	DISTRICT OF COLUMBIA	AETNA
2	B94992	MEDICARE UPIN
3	4029313 00	MEDICAID	MARYLAND
4	011740300	MEDICAID	DISTRICT OF COLUMBIA
5	B94992	OTHER	DISTRICT OF COLUMBIA	UPIN
6	441250	MEDICARE PIN
7	441250	MEDICARE PIN	DISTRICT OF COLUMBIA

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: 11/14/2023

NPI Synchronization or Removal

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