Provider Demographics
NPI:1447288444
Name:ANDERSON, ROBYN D (MD)
Entity type:Individual
Prefix:
First Name:ROBYN
Middle Name:D
Last Name:ANDERSON
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 1:10801 LOCKWOOD DR
Mailing Address - Street 2:SUITE 205
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-1556
Mailing Address - Country:US
Mailing Address - Phone:301-593-8500
Mailing Address - Fax:301-593-7547
Practice Address - Street 1:10801 LOCKWOOD DR
Practice Address - Street 2:SUITE 205
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901-1556
Practice Address - Country:US
Practice Address - Phone:301-593-8500
Practice Address - Fax:301-593-7547
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2020-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0052381207R00000X
MDD52381207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H02911Medicare UPIN
018346B16Medicare ID - Type Unspecified