MEDICARE: DR. ROBERT PAUL RADIN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	0101029542	VA

General Provider Information

NPI Number	:	1538223920
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT PAUL RADIN M.D.

Provider Business Mailing Address
First Line	:	4001 NORTH 9TH STREET
Second Line	:	SUITE 220
City	:	ARLINGTON
State	:	VA
Zip	:	22203-1956
Country	:	US
Telephone Number	:	703-524-1484
Fax Number	:	703-527-1237

Provider Business Practice Location Address
First Line	:	4001 9TH ST N
Second Line	:	SUITE 220
City	:	ARLINGTON
State	:	VA
Zip	:	22203-1956
Country	:	US
Telephone Number	:	703-524-1484
Fax Number	:	703-527-1237

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/20/2006
Last Update Date	:	11/16/2010

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