Provider Demographics
NPI:1730340100
Name:TATE, KANDIE S (MD)
Entity type:Individual
Prefix:
First Name:KANDIE
Middle Name:S
Last Name:TATE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2024 GEORGIA NW AVE 2ND
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20001-3027
Mailing Address - Country:US
Mailing Address - Phone:202-865-6679
Mailing Address - Fax:202-865-1617
Practice Address - Street 1:2139 GEORGIA AVE NW
Practice Address - Street 2:FACULTY PRAC PLAN
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001
Practice Address - Country:US
Practice Address - Phone:202-865-7499
Practice Address - Fax:202-865-3875
Is Sole Proprietor?:No
Enumeration Date:2008-06-19
Last Update Date:2015-10-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
DC000207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine