Basic Information
Provider Information
NPI: 1720247133
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CARTER
FirstName: RICHARD
MiddleName: ALVIN
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2024 GEORGIA AVE
Address2: HOWARD UNIVERSITY HOSPITAL
City: WASHINGTON
State: DC
PostalCode: 20001
CountryCode: US
TelephoneNumber: 2025953223
FaxNumber:  
Practice Location
Address1: HOWARD UNIVERSITY HOSPITAL
Address2: 2041 GEORGIA AVENUE, N.W.
City: WASHINGTON
State: DC
PostalCode: 200600001
CountryCode: US
TelephoneNumber: 2028656100
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/02/2008
LastUpdateDate: 01/05/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000XMD037202DCY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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