Provider Demographics
NPI:1699080663
Name:ELLIOT ALESKOW, M.D.,P.C.
Entity type:Organization
Organization Name:ELLIOT ALESKOW, M.D.,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ELLIOT
Authorized Official - Middle Name:
Authorized Official - Last Name:ALESKOW
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:202-466-7266
Mailing Address - Street 1:2141 K ST NW
Mailing Address - Street 2:SUITE701
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-1810
Mailing Address - Country:US
Mailing Address - Phone:202-466-7266
Mailing Address - Fax:202-331-7881
Practice Address - Street 1:2141 K STREET NW
Practice Address - Street 2:SUITE 701
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-1810
Practice Address - Country:US
Practice Address - Phone:202-466-7266
Practice Address - Fax:202-331-7881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-13
Last Update Date:2010-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC11935261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCB94632Medicare UPIN
DC409492Medicare PIN