Basic Information
| Provider Information | |||||||||
| NPI: | 1346637139 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SLOAN | ||||||||
| FirstName: | DEA | ||||||||
| MiddleName: | JINI | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D., MPH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2139 GEORGIA AVE NW FL 4 | ||||||||
| Address2: | |||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 200013006 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2028653324 | ||||||||
| FaxNumber: | 2028653875 | ||||||||
| Practice Location | |||||||||
| Address1: | 2139 GEORGIA AVE NW FL 4 | ||||||||
| Address2: | |||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 20001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2028653324 | ||||||||
| FaxNumber: | 2028653875 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/20/2015 | ||||||||
| LastUpdateDate: | 04/18/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/18/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | MD046519 | DC | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.