Healthcare Provider Details

I. General information

NPI: 1053594622
Provider Name (Legal Business Name): LOUIS KOZLOFF, M.D. & HUGH TROUT, M.D.,P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2007
Last Update Date: 03/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8218 WISCONSIN AVE SUITE 204
BETHESDA MD
20814-3107
US

IV. Provider business mailing address

8218 WISCONSIN AVE SUITE 204
BETHESDA MD
20814-3107
US

V. Phone/Fax

Practice location:
  • Phone: 301-652-1209
  • Fax: 301-951-8425
Mailing address:
  • Phone: 301-652-1209
  • Fax: 301-951-8425

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. BETSY FARMER
Title or Position: OFFICE MANAGER
Credential:
Phone: 301-652-1209