ELWIN G BUSTOS

WASHINGTON, DC
NPI1467543686
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: DC  MD19909)
Additional Taxonomies207RN0300X Internal Medicine, Nephrology
(Licence: VA  0101048655)
207RN0300X Internal Medicine, Nephrology
(Licence: DC  MD19909)
207RN0300X Internal Medicine, Nephrology
(Licence: MD  D0042936)
261QP2300X Clinic/Center, Primary Care
(Licence: DC  MD19909)
302R00000X Health Maintenance Organization
(Licence: DC  MD19909)
302R00000X Health Maintenance Organization
(Licence: VA  0101048655)
305R00000X Preferred Provider Organization
(Licence: VA  0101048655)
305R00000X Preferred Provider Organization
(Licence: DC  MD19909)
305R00000X Preferred Provider Organization
(Licence: MD  D0042936)
305S00000X Point of Service
(Licence: DC  MD19909)
Enumeration Date2006-09-27
Last Update Date2024-10-11
Business Address
Dr. ELWIN G BUSTOS MD
1140 VARNUM ST NE PMB 202
WASHINGTON, DC 20017-2151
Phone number: 202-269-6430
Mailing Address
Dr. ELWIN G BUSTOS MD
1140 VARNUM ST NE PMB 202
WASHINGTON, DC 20017-2151
Phone number: 202-269-6430