Healthcare Provider Details

I. General information

NPI: 1861476756
Provider Name (Legal Business Name): CHRISTIAN POPA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/03/2005
Last Update Date: 10/24/2023
Certification Date: 10/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8901 ROCKVILLE PIKE
BETHESDA MD
20889-6367
US

IV. Provider business mailing address

6905 TIMBER CREEK CT
CLARKSVILLE MD
21029-1748
US

V. Phone/Fax

Practice location:
  • Phone: 301-295-4000
  • Fax: --
Mailing address:
  • Phone: 202-782-2063
  • Fax: 202-782-5043

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberD0056841
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License NumberD0056841
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: