Healthcare Provider Details

I. General information

NPI: 1932689353
Provider Name (Legal Business Name): INTEGRATED HEALTH RESOURCES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2018
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8737 COLESVILLE RD STE 310
SILVER SPRING MD
20910-3921
US

IV. Provider business mailing address

8737 COLESVILLE RD STE 310
SILVER SPRING MD
20910-4380
US

V. Phone/Fax

Practice location:
  • Phone: 301-583-5195
  • Fax: 202-899-4222
Mailing address:
  • Phone: 301-583-5191
  • Fax: 301-850-6910

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: IVAN C WALKS
Title or Position: CEO
Credential: M.D.
Phone: 202-494-4999