Provider Demographics
NPI:1306968300
Name:SHANMUGAM, VICTORIA KATE (MD)
Entity type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:KATE
Last Name:SHANMUGAM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:VICTORIA
Other - Middle Name:KATE
Other - Last Name:REEVES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MRCP
Mailing Address - Street 1:938 LEIGH MILL RD
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:VA
Mailing Address - Zip Code:22066-2301
Mailing Address - Country:US
Mailing Address - Phone:202-390-2444
Mailing Address - Fax:
Practice Address - Street 1:2300 M ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-1434
Practice Address - Country:US
Practice Address - Phone:202-741-2488
Practice Address - Fax:202-741-2488
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2021-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD036423207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology