MEDICARE: DR. RUTH KEVESS-COHEN 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	207R00000X	Internal Medicine Physician	DD0033159	MD
2	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	DD0033159	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780688762
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RUTH KEVESS-COHEN M.D.

Provider Business Mailing Address
First Line	:	8700 GEORGIA AVE
Second Line	:	STE 400
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-3605
Country	:	US
Telephone Number	:	301-585-6980
Fax Number	:	301-588-7365

Provider Business Practice Location Address
First Line	:	8700 GEORGIA AVE
Second Line	:	STE 400
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-3605
Country	:	US
Telephone Number	:	301-585-6980
Fax Number	:	301-588-7365

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

Provider Enumeration Date	:	06/08/2005
Last Update Date	:	06/21/2012

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