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 | 183500000X | Pharmacist | | PH2893 | DISTRICT OF COLUMBIA | No |
| 2 | 183500000X | Pharmacist | | 11998 | MARYLAND | No |
| 3 | 207Q00000X | Family Medicine | | MD036361 | DISTRICT OF COLUMBIA | No |
| 4 | 207QG0300X | Family Medicine | Geriatric Medicine | D0068121 | MARYLAND | No |
| 5 | 207RG0300X | Internal Medicine | Geriatric Medicine | MD036361 | DISTRICT OF COLUMBIA | No |
| 6 | 207Q00000X | Family Medicine | | D0068121 | MARYLAND | Yes |