Healthcare Provider Details
I. General information
NPI: 1568854149
Provider Name (Legal Business Name): ELSPETH CAMERON RITCHIE MD, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/19/2015
Last Update Date: 02/19/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10014 PORTLAND PL
SILVER SPRING MD
20901-2114
US
IV. Provider business mailing address
10014 PORTLAND PL
SILVER SPRING MD
20901-2114
US
V. Phone/Fax
- Phone: 301-801-4723
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P2900X |
| Taxonomy | Pain Medicine (Psychiatry & Neurology) Physician |
| License Number | 17300 |
| License Number State | DC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: