Healthcare Provider Details

I. General information

NPI: 1083620843
Provider Name (Legal Business Name): PATRICK ANDRE CROSS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7501 GREENWAY CENTER DR STE 500
GREENBELT MD
20770-3546
US

IV. Provider business mailing address

24035 THREE NOTCH RD
HOLLYWOOD MD
20636
US

V. Phone/Fax

Practice location:
  • Phone: 301-373-7900
  • Fax: 301-373-6900
Mailing address:
  • Phone: 301-373-7900
  • Fax: 301-373-6900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberD0041728
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207RH0000X
TaxonomyHematology (Internal Medicine) Physician
License NumberD0041728
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: