Provider Demographics
NPI:1215563218
Name:SMITH, JOSHUA ABRAHAM (MD)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:ABRAHAM
Last Name:SMITH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4000 RESERVOIR RD NW
Mailing Address - Street 2:BLD D, ROOM 234
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20007-2145
Mailing Address - Country:US
Mailing Address - Phone:202-687-1275
Mailing Address - Fax:202-687-1651
Practice Address - Street 1:4151 BLADENSBURG RD
Practice Address - Street 2:
Practice Address - City:COLMAR MANOR
Practice Address - State:MD
Practice Address - Zip Code:20722-1928
Practice Address - Country:US
Practice Address - Phone:301-699-7700
Practice Address - Fax:301-779-9001
Is Sole Proprietor?:No
Enumeration Date:2020-03-21
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
MDD0102983207Q00000X
DCMD600003802207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program