Provider Demographics
NPI:1285797605
Name:ENGEL, JASON DOUGLAS (MD,)
Entity type:Individual
Prefix:DR
First Name:JASON
Middle Name:DOUGLAS
Last Name:ENGEL
Suffix:
Gender:M
Credentials:MD,
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1147 20TH ST., NW
Mailing Address - Street 2:SUITE 400
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-1003
Mailing Address - Country:US
Mailing Address - Phone:202-223-1024
Mailing Address - Fax:202-223-2152
Practice Address - Street 1:1147 20TH ST NW
Practice Address - Street 2:SUITE 400
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-3409
Practice Address - Country:US
Practice Address - Phone:202-223-1024
Practice Address - Fax:202-223-2152
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2022-01-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0054530208800000X
DCMD31469208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
G90366Medicare UPIN