Healthcare Provider Details

I. General information

NPI: 1831865526
Provider Name (Legal Business Name): ROBERT MCNAIR SCOTT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2021
Last Update Date: 08/21/2021
Certification Date: 08/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5630 WISCONSIN AVE APT 1107
CHEVY CHASE MD
20815-4457
US

IV. Provider business mailing address

5630 WISCONSIN AVE APT 1107
CHEVY CHASE MD
20815-4457
US

V. Phone/Fax

Practice location:
  • Phone: 301-986-8068
  • Fax: 301-986-8068
Mailing address:
  • Phone: 202-679-5868
  • Fax: 301-986-8068

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberD0009339
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: