Provider Demographics
NPI:1841346152
Name:WEST, MICHAEL JAMES (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:JAMES
Last Name:WEST
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 L ST NW STE 609
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-5024
Mailing Address - Country:US
Mailing Address - Phone:202-570-5151
Mailing Address - Fax:202-446-2946
Practice Address - Street 1:1900 L ST NW STE 609
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-5024
Practice Address - Country:US
Practice Address - Phone:202-570-5151
Practice Address - Fax:202-446-2946
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-27
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH125680207RE0101X, 261QM2500X
DCMD038324261QM2500X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCMD038324OtherDISTRICT OF COLUMBIA
OH125680OtherOHIO