Provider Demographics
NPI:1881755668
Name:BERBANO, ELIZABETH PAJEL (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:PAJEL
Last Name:BERBANO
Suffix:
Gender:F
Credentials:MD, MPH
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Mailing Address - Street 1:8901 WISCONSIN AVE DEPARTMENT OF MEDICINE
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20889-0001
Mailing Address - Country:US
Mailing Address - Phone:301-295-0196
Mailing Address - Fax:301-400-0609
Practice Address - Street 1:WRAMC, BLDG 2, DEPARTMENT OF MEDICINE
Practice Address - Street 2:6900 GEORGIA AVE, NW
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20307-5001
Practice Address - Country:US
Practice Address - Phone:202-782-1774
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI9131207R00000X
VA0101241268207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAD000Medicare UPIN