Basic Information
| Provider Information | |||||||||
| NPI: | 1881755668 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BERBANO | ||||||||
| FirstName: | ELIZABETH | ||||||||
| MiddleName: | PAJEL | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD, MPH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8901 WISCONSIN AVE DEPARTMENT OF MEDICINE | ||||||||
| Address2: | |||||||||
| City: | BETHESDA | ||||||||
| State: | MD | ||||||||
| PostalCode: | 208890001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3012950196 | ||||||||
| FaxNumber: | 3014000609 | ||||||||
| Practice Location | |||||||||
| Address1: | WRAMC, BLDG 2, DEPARTMENT OF MEDICINE | ||||||||
| Address2: | 6900 GEORGIA AVE, NW | ||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 203075001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2027821774 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/13/2006 | ||||||||
| LastUpdateDate: | 09/10/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/10/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 9131 | HI | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 0101241268 | VA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.