Healthcare Provider Details

I. General information

NPI: 1265562508
Provider Name (Legal Business Name): CYRIL A. ALLEN M.D., MSPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/06/2007
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8205 WATERSIDE CT
FORT WASHINGTON MD
20744-5571
US

IV. Provider business mailing address

8205 WATERSIDE CT
FORT WASHINGTON MD
20744-5571
US

V. Phone/Fax

Practice location:
  • Phone: 202-846-1412
  • Fax: 202-846-1418
Mailing address:
  • Phone: 202-846-1412
  • Fax: 202-846-1418

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD33401
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberMD33401
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: