Provider Demographics
NPI:1285920728
Name:CORRADO, RICHELE L (DO, MPH)
Entity type:Individual
Prefix:DR
First Name:RICHELE
Middle Name:L
Last Name:CORRADO
Suffix:
Gender:
Credentials:DO, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1050 CONNECTICUT AVE NW STE 500
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-5304
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:833-941-2357
Practice Address - Street 1:1050 CONNECTICUT AVE NW STE 500
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-5304
Practice Address - Country:US
Practice Address - Phone:202-596-8891
Practice Address - Fax:833-941-2357
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-23
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0102203276207RB0002X, 207R00000X, 171000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RB0002XAllopathic & Osteopathic PhysiciansInternal MedicineObesity MedicineGroup - Multi-Specialty
No171000000XOther Service ProvidersMilitary Health Care ProviderGroup - Multi-Specialty