Provider Demographics
NPI:1316104284
Name:BROWN, CHARLENE A (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:CHARLENE
Middle Name:A
Last Name:BROWN
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 13TH ST NW STE 660
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20005-3011
Mailing Address - Country:US
Mailing Address - Phone:202-684-9952
Mailing Address - Fax:
Practice Address - Street 1:600 13TH ST NW STE 660
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20005-3011
Practice Address - Country:US
Practice Address - Phone:202-684-9952
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-19
Last Update Date:2010-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0066964207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine