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NPI Code Detail

MEDICARE: HERMON MILIARD DERBEW MD

MEDICARE: HERMON MILIARD DERBEW MD
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
12085P0229XPediatric Radiology PhysicianMTL600211613DC

General Provider Information

NPI Number : 1881528339
Entity Type Code : Individual
Provider Name (Legal Business Name) : HERMON MILIARD DERBEW MD
Provider Business Mailing Address
First Line : 14600 BENTLEY PARK DR
Second Line :
City : BURTONSVILLE
State : MD
Zip : 20866-3126
Country : US
Telephone Number : 240-505-5975
Fax Number :
Provider Business Practice Location Address
First Line : 111 MICHIGAN AVE NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20010-2916
Country : US
Telephone Number : 202-476-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2026
Last Update Date : 06/10/2026

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Directions to “ HERMON MILIARD DERBEW MD” Practice Location

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