Provider Demographics
NPI:1285926915
Name:CORTEZ, KAROLL JOSE (M,D)
Entity type:Individual
Prefix:DR
First Name:KAROLL
Middle Name:JOSE
Last Name:CORTEZ
Suffix:
Gender:F
Credentials:M,D
Other - Prefix:DR
Other - First Name:KAROLL
Other - Middle Name:JOSE
Other - Last Name:CORTEZ-AUSTERLITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:5225 POOKS HILL RD
Mailing Address - Street 2:APT# 210 N
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-2052
Mailing Address - Country:US
Mailing Address - Phone:301-530-8258
Mailing Address - Fax:
Practice Address - Street 1:5225 POOKS HILL RD
Practice Address - Street 2:APT# 210 N
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-2052
Practice Address - Country:US
Practice Address - Phone:301-530-8258
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-13
Last Update Date:2011-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101231221207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease