MEDICARE: PATRICIA KEEGAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RX0202X	Medical Oncology Physician	D41222	MD

General Provider Information

NPI Number	:	1013305663
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA KEEGAN

Provider Business Mailing Address
First Line	:	10903 NEW HAMPSHIRE AVE BLDG 22
Second Line	:	ROOM 2328
City	:	SILVER SPRING
State	:	MD
Zip	:	20903-1058
Country	:	US
Telephone Number	:	301-796-1387
Fax Number	:

Provider Business Practice Location Address
First Line	:	10903 NEW HAMPSHIRE AVE
Second Line	:	BUILDING 22, ROOM 2328
City	:	SILVER SPRING
State	:	MD
Zip	:	20903-1058
Country	:	US
Telephone Number	:	301-796-1387
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/06/2015
Last Update Date	:	01/06/2015

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Directions to “ PATRICIA KEEGAN ” Practice Location

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