Healthcare Provider Details

I. General information

NPI: 1699720136
Provider Name (Legal Business Name): ROBERT LAMAR RICE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2006
Last Update Date: 09/30/2024
Certification Date: 09/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2781 CRYSTAL WOODS DR
FINKSBURG MD
21048-3000
US

IV. Provider business mailing address

2781 CRYSTAL WOODS DR
FINKSBURG MD
21048-3000
US

V. Phone/Fax

Practice location:
  • Phone: 410-259-7939
  • Fax:
Mailing address:
  • Phone: 410-259-7939
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberMD429014
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberD64597
License Number StateMD
# 3
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number14149242-1235
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: