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Contact Information

DORIS PABLO-BUSTOS, MD PC
1140 VARNUM ST NE PMB 202
WASHINGTON, DC20017-2151
 Phone: 202-269-6430
 Fax: 202-269-6598
 Website:
Indicates primary specialty

NPI Profile & details for DORIS PABLO-BUSTOS, MD PC

NPI # 1659553253
LBN Legal business name DORIS PABLO-BUSTOS, MD PC
Authorized official MICHELLE YRASTORZA - (RCM)
Entity Organization
Organization subpart 1 No
Enumeration date 12/05/2007
Last updated 09/02/2025 - About 9 months ago
Identifiers
DC Medicaid 033872900
DC Medicaid 050883700
MD Medicaid 553223000
VA Medicaid 3001576058000
DC Other F8110001 BCBS
DC Other 09D0948025 CLIA
DC Other MD30307 LICENSE
MD Other D0058776 LICENSE
VA Other 0101056019 LICENSE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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