DORA MAMODESENEMDPC NPI 1144454141

NPI Information

  • NPI: 1144454141
  • Provider Name: DORA MAMODESENE,MD,PC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 7733 ALASKA AVE NW
    NW
    WASHINGTON, DC
    ZIP 20012
  • Phone: (202) 882-5300

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NPI Details

DORA MAMODESENE,MD,PC is a primary care clinic center in Washington, DC. DORA MAMODESENE,MD,PC NPI is 1144454141. The provider is registered as an organization entity type.

The provider's business location address is:

7733 ALASKA AVE NW
NW
WASHINGTON, DC
ZIP 20012-421
Phone: (202) 882-5300
Fax: (301) 989-2276

The provider's authorized official is Dora M Mamodesene .
The authorized official title is President and has the following contact phone number (202) 489-1277.

The enumeration date for this NPI number is 5/6/2009 and was last updated on 5/6/2009.

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
1261QP2300XClinic/CenterPrimary CareD0029649MDMARYLANDNo
2261QP2300XClinic/CenterPrimary Care0101035678VIRGINIANo
3261QP2300XClinic/CenterPrimary Care14222MDDISTRICT 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000148491OTHERMARYLANDMEDICARE
2B93676MDMEDICARE UPINMARYLAND

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: 11/21/2025

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