Healthcare Provider Details

I. General information

NPI: 1437112992
Provider Name (Legal Business Name): DAVID RICHARD ARDAY M.D., M.P.H.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/07/2006
Last Update Date: 03/31/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7640 WOODSTREAM WAY
LAUREL MD
20723-1163
US

IV. Provider business mailing address

PO BOX 428
FULTON MD
20759-0428
US

V. Phone/Fax

Practice location:
  • Phone: 240-380-2180
  • Fax:
Mailing address:
  • Phone: 301-490-0266
  • Fax: 240-568-9674

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number35 049449
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number35.049449
License Number StateOH

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: