Healthcare Provider Details

I. General information

NPI: 1730165523
Provider Name (Legal Business Name): MICHAEL RICHARD LEWIN-SMITH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/22/2005
Last Update Date: 05/08/2025
Certification Date: 05/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

606 STEPHEN SITTER AVE
SILVER SPRING MD
20910-1290
US

IV. Provider business mailing address

8901 WISCONSIN AVE
BETHESDA MD
20889-5095
US

V. Phone/Fax

Practice location:
  • Phone: 301-295-3974
  • Fax:
Mailing address:
  • Phone: 301-295-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License NumberMD000020959
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: