Healthcare Provider Details

I. General information

NPI: 1649768599
Provider Name (Legal Business Name): ALEXANDER JOHN PYBUS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2018
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8901 WISCONSIN AVE
BETHESDA MD
20889-0004
US

IV. Provider business mailing address

8901 WISCONSIN AVE
BETHESDA MD
20889-0004
US

V. Phone/Fax

Practice location:
  • Phone: 301-400-2363
  • Fax: 301-400-3193
Mailing address:
  • Phone: 301-400-2363
  • Fax: 301-400-3193

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number01082544A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: