NPI Code Details Logo

NPI 1962488296

NPI 1962488296 : ROBERT CRAIG PLATENBERG M.D. : WASHINGTON, DC

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1962488296
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    ROBERT CRAIG PLATENBERG M.D.
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    12/19/2005
-----------------------------------------------------
    Last Update Date     |    02/15/2013
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    3800 RESERVOIR RD NW 
-----------------------------------------------------
    City                 |    WASHINGTON
-----------------------------------------------------
    State                |    DC
-----------------------------------------------------
    Zip                  |    20007-2113
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    202-444-3400
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    6904 BENJAMIN ST 
-----------------------------------------------------
    City                 |    MC LEAN
-----------------------------------------------------
    State                |    VA
-----------------------------------------------------
    Zip                  |    22101-1504
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    703-300-0157
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    2085N0700X
-----------------------------------------------------
    Taxonomy Name        |    Neuroradiology Physician
-----------------------------------------------------
    License Number       |    19675
-----------------------------------------------------
    License Number State |    DC
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    2085N0700X
-----------------------------------------------------
    Taxonomy Name        |    Neuroradiology Physician
-----------------------------------------------------
    License Number       |    D0043405
-----------------------------------------------------
    License Number State |    MD
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    2085N0700X
-----------------------------------------------------
    Taxonomy Name        |    Neuroradiology Physician
-----------------------------------------------------
    License Number       |    C10005594
-----------------------------------------------------
    License Number State |    DE
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    2085N0700X
-----------------------------------------------------
    Taxonomy Name        |    Neuroradiology Physician
-----------------------------------------------------
    License Number       |    35073983P
-----------------------------------------------------
    License Number State |    OH
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    2085N0700X
-----------------------------------------------------
    Taxonomy Name        |    Neuroradiology Physician
-----------------------------------------------------
    License Number       |    MD063975L
-----------------------------------------------------
    License Number State |    PA
-----------------------------------------------------
Taxonomy #6
-----------------------------------------------------
    Taxonomy Code        |    2085N0700X
-----------------------------------------------------
    Taxonomy Name        |    Neuroradiology Physician
-----------------------------------------------------
    License Number       |    K6242
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------
Taxonomy #7
-----------------------------------------------------
    Taxonomy Code        |    2085N0700X
-----------------------------------------------------
    Taxonomy Name        |    Neuroradiology Physician
-----------------------------------------------------
    License Number       |    0101051960
-----------------------------------------------------
    License Number State |    VA
-----------------------------------------------------
Taxonomy #8
-----------------------------------------------------
    Taxonomy Code        |    2085N0700X
-----------------------------------------------------
    Taxonomy Name        |    Neuroradiology Physician
-----------------------------------------------------
    License Number       |    42667
-----------------------------------------------------
    License Number State |    CO
-----------------------------------------------------
Taxonomy #9
-----------------------------------------------------
    Taxonomy Code        |    2085N0700X
-----------------------------------------------------
    Taxonomy Name        |    Neuroradiology Physician
-----------------------------------------------------
    License Number       |    ME94156
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------
Taxonomy #10
-----------------------------------------------------
    Taxonomy Code        |    2085N0700X
-----------------------------------------------------
    Taxonomy Name        |    Neuroradiology Physician
-----------------------------------------------------
    License Number       |    MD12067
-----------------------------------------------------
    License Number State |    HI
-----------------------------------------------------
Taxonomy #11
-----------------------------------------------------
    Taxonomy Code        |    2085N0700X
-----------------------------------------------------
    Taxonomy Name        |    Neuroradiology Physician
-----------------------------------------------------
    License Number       |    32293
-----------------------------------------------------
    License Number State |    IA
-----------------------------------------------------
Taxonomy #12
-----------------------------------------------------
    Taxonomy Code        |    2085N0700X
-----------------------------------------------------
    Taxonomy Name        |    Neuroradiology Physician
-----------------------------------------------------
    License Number       |    MD114753
-----------------------------------------------------
    License Number State |    MO
-----------------------------------------------------
Taxonomy #13
-----------------------------------------------------
    Taxonomy Code        |    2085N0700X
-----------------------------------------------------
    Taxonomy Name        |    Neuroradiology Physician
-----------------------------------------------------
    License Number       |    2001-281
-----------------------------------------------------
    License Number State |    NM
-----------------------------------------------------
Taxonomy #14
-----------------------------------------------------
    Taxonomy Code        |    2085N0700X
-----------------------------------------------------
    Taxonomy Name        |    Neuroradiology Physician
-----------------------------------------------------
    License Number       |    5206088
-----------------------------------------------------
    License Number State |    NY
-----------------------------------------------------
Taxonomy #15
-----------------------------------------------------
    Taxonomy Code        |    2085N0700X
-----------------------------------------------------
    Taxonomy Name        |    Neuroradiology Physician
-----------------------------------------------------
    License Number       |    SP090
-----------------------------------------------------
    License Number State |    NV
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.