Basic Information
| Provider Information | |||||||||
| NPI: | 1508590514 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GEOCA | ||||||||
| FirstName: | ALEXANDRA | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 216 3RD ST SE APT 1 | ||||||||
| Address2: | |||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 200032596 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5852818161 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1100 ALABAMA AVE SE FL 2 | ||||||||
| Address2: | |||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 200324542 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2022995334 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/14/2022 | ||||||||
| LastUpdateDate: | 07/14/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/14/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | MTL500001661 | DC | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 2084P0800X | MTL500001661 | DC | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
No ID Information.