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DORIS PABLO-BUSTOS MD PC NPI 1659553253


NPI Information

NPI: 1659553253
Provider Name: DORIS PABLO-BUSTOS, MD PC

Doing Business As: DORIS PABLO-BUSTOS, MD PC

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
1140 VARNUM ST NE
PROVIDENCE MEDICAL BLDG STE 202
WASHINGTON, DC
ZIP 20017
Phone: (202) 269-6430
Get Directions

DORIS PABLO-BUSTOS, MD PC is an internal medicine in Washington, DC. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DORIS PABLO-BUSTOS, MD PC NPI is 1659553253. The provider is registered as an organization entity type.
The provider Is Doing Business As Doris Pablo-bustos, Md Pc.

The provider's business location address is:

1140 VARNUM ST NE
PROVIDENCE MEDICAL BLDG STE 202
WASHINGTON, DC
ZIP 20017-151
Phone: (202) 269-6430
Fax: (202) 269-6598

The provider's authorized official is Doris V Pablo-bustos .
The authorized official title is Physician and has the following contact phone number (202) 269-6430.

The enumeration date for this NPI number is 12/5/2007 and was last updated on 9/24/2021.


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
1302R00000XHealth Maintenance OrganizationNo
2305R00000XPreferred Provider OrganizationNo
3207R00000XInternal MedicineYes

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
1G00861OTHERDISTRICT OF COLUMBIAMEDICARE
2DA9514OTHERDISTRICT OF COLUMBIAMEDICARE RAILROAD
3553223000MEDICAIDMARYLAND
4050883700MEDICAIDDISTRICT OF COLUMBIA
51659553253MEDICAIDVIRGINIA

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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