| Richard L Roth Md Pc | |
|
6845 Elm Street Suite 210 Mclean VA 22101-3822 | |
| (703) 821-2337 | |
| Not Available |
| Full Name | Richard L Roth Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 6845 Elm Street, Mclean, Virginia |
| Authorized Official Name and Position | Richard Lee Roth (PRESIDENT) |
| Authorized Official Contact | 7038212337 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard L Roth Md Pc 6845 Elm Street Suite 210 Mclean VA 22101-3822 Ph: (703) 821-2337 | Richard L Roth Md Pc 6845 Elm Street Suite 210 Mclean VA 22101-3822 Ph: (703) 821-2337 |
| NPI Number | 1740387976 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 08/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740387976 | NPI | - | NPPES |
| 059999 | Other | VA | ANTHEM BCBS |
| 010255155 | Medicaid | VA | |
| 8555 | Other | DC | CARE FIRST BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 0101028447 (Virginia) | Primary |
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