Provider Demographics
NPI:1972700334
Name:CARIDI, THERESA MICHELLE (MD)
Entity type:Individual
Prefix:DR
First Name:THERESA
Middle Name:MICHELLE
Last Name:CARIDI
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Gender:F
Credentials:MD
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Mailing Address - Street 1:3800 RESERVOIR RD NW
Mailing Address - Street 2:CG201
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20007-2113
Mailing Address - Country:US
Mailing Address - Phone:202-444-3450
Mailing Address - Fax:202-444-4899
Practice Address - Street 1:3800 RESERVOIR RD NW
Practice Address - Street 2:CG201
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007-2113
Practice Address - Country:US
Practice Address - Phone:202-444-3450
Practice Address - Fax:202-444-4899
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-29
Last Update Date:2024-02-01
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Provider Licenses
StateLicense IDTaxonomies
AL407852085R0204X
PAMT2010312085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology