Provider Demographics
NPI:1972742484
Name:DIDACE KABATSI MD PC
Entity type:Organization
Organization Name:DIDACE KABATSI MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DIDACE
Authorized Official - Middle Name:
Authorized Official - Last Name:KABATSI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:202-822-9600
Mailing Address - Street 1:818 18TH ST NW
Mailing Address - Street 2:SUITE 620
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20006-3513
Mailing Address - Country:US
Mailing Address - Phone:202-822-9600
Mailing Address - Fax:202-822-8099
Practice Address - Street 1:818 18TH ST NW
Practice Address - Street 2:SUITE 620
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-3513
Practice Address - Country:US
Practice Address - Phone:202-822-9600
Practice Address - Fax:202-822-8099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-08
Last Update Date:2009-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD9107261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty