Healthcare Provider Details

I. General information

NPI: 1487049532
Provider Name (Legal Business Name): EVA ROTTMANN DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2015
Last Update Date: 02/17/2026
Certification Date: 02/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12255 PROSPERITY DR STE 201
SILVER SPRING MD
20904-1743
US

IV. Provider business mailing address

7361 CALHOUN PL STE 600
ROCKVILLE MD
20855-2788
US

V. Phone/Fax

Practice location:
  • Phone: 301-942-7600
  • Fax: 301-942-3132
Mailing address:
  • Phone: 301-942-7600
  • Fax: 301-942-3521

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberH0090993
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: