Provider Demographics
NPI:1437184348
Name:LEPCHA, NICKIE ONGEL (MD)
Entity type:Individual
Prefix:
First Name:NICKIE
Middle Name:ONGEL
Last Name:LEPCHA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:730 24TH ST NW
Mailing Address - Street 2:SUITE 7
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-2543
Mailing Address - Country:US
Mailing Address - Phone:202-338-5050
Mailing Address - Fax:202-965-1333
Practice Address - Street 1:730 24TH ST NW
Practice Address - Street 2:SUITE 7
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-2543
Practice Address - Country:US
Practice Address - Phone:202-338-5050
Practice Address - Fax:202-965-1333
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD034362207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC018926W59Medicare ID - Type Unspecified