Mike E. Pelivanis, LDO

Practice location

Address

4200 Wisconsin Ave NW, Washington, DC 20016-2143

Phone

(202) 244-1308

Fax

(202) 244-2050

Registered specialties

Registry record

NPI

1407997992

Entity type

Individual

Sex (as registered)

Male

NPI issued

9 Feb 2007

Record last updated

8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.