Basic Information
Provider Information
NPI: 1730182775
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NEE
FirstName: ROBERT
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8901 ROCKVILLE PIKE
Address2:  
City: BETHESDA
State: MD
PostalCode: 20889
CountryCode: US
TelephoneNumber: 3012954331
FaxNumber: 3012956081
Practice Location
Address1: 8901 ROCKVILLE PIKE
Address2:  
City: BETHESDA
State: MD
PostalCode: 208893026
CountryCode: US
TelephoneNumber: 3012954331
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/23/2005
LastUpdateDate: 03/08/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RN0300X0101234840VAY Allopathic & Osteopathic PhysiciansInternal MedicineNephrology

ID Information
IDTypeStateIssuerDescription
43767201VAANTHEM WARRENTONOTHER
000783147501VAAETNAOTHER
01000626105VA MEDICAID
43767101VAANTHEM CULPEPEROTHER
209661001VAFIRSTHEALTHOTHER
853944700101VACIGNAOTHER
211095201VAMAMSIOTHER
6463701VAUNICAREOTHER
6975901VASENTARAOTHER
4195000601VACAREFIRSTOTHER
01000626101VAVIRGINIA PREMIER HEALTHOTHER
21313101VASOUTHERN HEALTHOTHER


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