ANNE KOROSHETZ MD NPI 1215924790

NPI Information

NPI: 1215924790
Provider Name: ANNE KOROSHETZ, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
10215 FERNWOOD RD
SUITE 620
BETHESDA, MD
ZIP 20817
Phone: (301) 530-6646
Get Directions

Anne Koroshetz, MD is a diagnostic radiology radiology in Bethesda, MD. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Anne Koroshetz, MD NPI is 1215924790. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10215 FERNWOOD RD
SUITE 620
BETHESDA, MD
ZIP 20817-106
Phone: (301) 530-6646
Fax: (301) 530-0773

The enumeration date for this NPI number is 9/30/2005 and was last updated on 12/20/2013.

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	2085R0202X	Radiology	Diagnostic Radiology	51928	MASSACHUSETTS	No
2	2085R0202X	Radiology	Diagnostic Radiology	D0066670	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	039290100	MEDICAID	DISTRICT OF COLUMBIA
2	6190847	MEDICAID	MASSACHUSETTS
3	022886K90	MEDICARE PIN
4	022886K90	OTHER		MEDICARE
5	A57214	MEDICARE UPIN
6	J04220	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS
7	413835000	MEDICAID	MARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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