Provider Demographics
NPI:1699748483
Name:WILLIAMS, ROBERT HENRY (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:HENRY
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2024 GEORGIA AVENUE, NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20001
Mailing Address - Country:US
Mailing Address - Phone:202-865-4403
Mailing Address - Fax:202-865-3212
Practice Address - Street 1:2041 GEORGIA AVENUE, NW
Practice Address - Street 2:SUITE 3200
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20060
Practice Address - Country:US
Practice Address - Phone:202-865-4403
Practice Address - Fax:202-865-3214
Is Sole Proprietor?:No
Enumeration Date:2006-02-10
Last Update Date:2010-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD3766207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC011707100Medicaid
DC9694OtherCAREFIRST BCBS
DC405231Medicare PIN
DC011707100Medicaid