Healthcare Provider Details

I. General information

NPI: 1871442376
Provider Name (Legal Business Name): RICHEY LASER AND SKIN CANCER CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2026
Last Update Date: 01/27/2026
Certification Date: 01/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5454 WISCONSIN AVE STE 1310
CHEVY CHASE MD
20815-6901
US

IV. Provider business mailing address

5454 WISCONSIN AVE STE 1310
CHEVY CHASE MD
20815-6901
US

V. Phone/Fax

Practice location:
  • Phone: 301-656-6868
  • Fax: 515-515-0506
Mailing address:
  • Phone: 301-656-6868
  • Fax: 515-515-0506

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PATRICIA RICHEY
Title or Position: FOUNDER AND MEDICAL DIRECTOR
Credential: MD
Phone: 301-651-3638