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General NPI Number Information
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NPI Number | 1396277125
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Entity Type | Individual
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Provider Name | RYAN CEPHAS MD
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Gender | Male
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Dates
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Enumeration Date | 03/30/2017
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 8040 GEORGIA AVE STE 170
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City | SILVER SPRING
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State | MD
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Zip | 20910-4959
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Country | US
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Telephone | 202-360-4787
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Fax | 202-360-4787
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Provider Business Mailing Address
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Address Line | 501 S CHIPETA WAY
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City | SALT LAKE CITY
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State | UT
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Zip | 84108-1222
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Country | US
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Telephone | 801-581-7951
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | D0103743
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | D0103743
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License Number State | MD
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