Provider Demographics
NPI:1306939673
Name:WEST, LINDA ADELE (MD)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:ADELE
Last Name:WEST
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5247 WISCONSIN AVE NW
Mailing Address - Street 2:UNIT 3 2ND FLOOR
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20015-2012
Mailing Address - Country:US
Mailing Address - Phone:202-237-8871
Mailing Address - Fax:202-237-8554
Practice Address - Street 1:5247 WISCONSIN AVE NW
Practice Address - Street 2:UNIT 3 2ND FLOOR
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20015-2012
Practice Address - Country:US
Practice Address - Phone:202-237-8871
Practice Address - Fax:202-237-8554
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC187362084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
WE 673028Medicare ID - Type Unspecified
DCE20433Medicare UPIN