Healthcare Provider Details

I. General information

NPI: 1235873860
Provider Name (Legal Business Name): KATIE SCARLETT STOOPS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2022
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 CENTER DR RM 4-5140
BETHESDA MD
20892-0004
US

IV. Provider business mailing address

10 CENTER DR RM 4-5140
BETHESDA MD
20892-0004
US

V. Phone/Fax

Practice location:
  • Phone: 301-402-2399
  • Fax:
Mailing address:
  • Phone: 301-402-2399
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberMD600005725
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: