Basic Information
Provider Information
NPI: 1427010115
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TURNER
FirstName: MARK
MiddleName: D
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3077 CLEVELAND AVE NW
Address2:  
City: WASHINGTON
State: DC
PostalCode: 200083532
CountryCode: US
TelephoneNumber: 2024456619
FaxNumber:  
Practice Location
Address1: 8901 WISCONSIN AVE
Address2: NEPHROLOGY CLINIC
City: BETHESDA
State: MD
PostalCode: 208890001
CountryCode: US
TelephoneNumber: 3012954330
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/06/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: X
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X26948KYX Allopathic & Osteopathic PhysiciansInternal Medicine 
207RN0300X26948KYX Allopathic & Osteopathic PhysiciansInternal MedicineNephrology

No ID Information.


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