Theodore L Watkins


Address: 323 15th St Ne, Washington, DC 20002-6501
Phone: 2023880992

Theodore L Watkins (NPI# 1174542856, PAC ID# 5193727139) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.

Physician Overview

Nation Provider ID (NPI) 1174542856
PAC ID by PECOS 5193727139
Professional Enrollment ID I20070205000492
Full Name Theodore L Watkins
Address 323 15th St Ne
Washington
DC 20002-6501
Phone Number 2023880992
Gender M
Credential MD
Medical School HOWARD UNIVERSITY COLLEGE OF MEDICINE
Graduation Year 1977
Primary Specialty GENERAL PRACTICE
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
323 15th St Ne, Washington, DC 20002-6501 2023880992

Organization Information

Office Location

Street Address 323 15TH ST NE
City WASHINGTON
State DC
Zip 20002-6501

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Competitor

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City WASHINGTON
Zip Code 20002
Specialty GENERAL PRACTICE
City + Specialty WASHINGTON + GENERAL PRACTICE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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