Provider Demographics
NPI:1447259411
Name:CZAPP, PATRICIA A (MD)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:A
Last Name:CZAPP
Suffix:
Gender:F
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:PO BOX 78526
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30357-2526
Mailing Address - Country:US
Mailing Address - Phone:404-231-4431
Mailing Address - Fax:404-231-5677
Practice Address - Street 1:7501 GREENWAY CENTER DR STE 600
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770
Practice Address - Country:US
Practice Address - Phone:301-579-3465
Practice Address - Fax:443-739-7296
Is Sole Proprietor?:No
Enumeration Date:2005-07-20
Last Update Date:2018-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD44161207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD085741600Medicaid
MD12106OtherKAISER
MD1441776OtherUNITED HEALTHCARE
MD2133447OtherMAMSI
MD0830608OtherAETNA HMO
MD6154866003OtherCIGNA
MD52859704OtherBCBS
MD41800OtherJHHC
DC002OtherBCBS
MD5525448OtherAETNA PPO
MD606897000OtherFEDERAL WORKMAN'S COMP
MD2133447OtherMAMSI
DC002OtherBCBS
MD1441776OtherUNITED HEALTHCARE
MDP00228353Medicare PIN