Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 2083P0901X | Preventive Medicine | Public Health & General Preventive Medicine | D0095834 | MARYLAND | No |
| 2 | 207R00000X | Internal Medicine | | 39020000X | VIRGINIA | No |
| 3 | 2083P0901X | Preventive Medicine | Public Health & General Preventive Medicine | 0101246132 | VIRGINIA | No |
| 4 | 2083P0500X | Preventive Medicine | Preventive Medicine/Occupational Environmental Medicine | D0095834 | MARYLAND | No |
| 5 | 2083P0500X | Preventive Medicine | Preventive Medicine/Occupational Environmental Medicine | 0101246132 | VIRGINIA | No |
| 6 | 2083P0901X | Preventive Medicine | Public Health & General Preventive Medicine | A159625 | CALIFORNIA | No |
| 7 | 261QP2300X | Clinic/Center | Primary Care | 0101246132 | VIRGINIA | No |
| 8 | 2865M2000X | Military Hospital | Military General Acute Care Hospital | 0101246132 | VIRGINIA | No |
| 9 | 261QP2300X | Clinic/Center | Primary Care | D0095834 | MARYLAND | Yes |
