MEDICARE: KAREN K WINER MD

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	208000000X	Pediatrics Physician	D35556	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3477	OTHER	DC	BLUE SHIELD OF DC
2	LY67	OTHER	MD	BLUE CROSS OF MD

General Provider Information

NPI Number	:	1205938461
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN K WINER MD

Provider Business Mailing Address
First Line	:	PO BOX 299
Second Line	:
City	:	BURTONSVILLE
State	:	MD
Zip	:	20866-0299
Country	:	US
Telephone Number	:	301-570-9700
Fax Number	:	301-260-2838

Provider Business Practice Location Address
First Line	:	8830 CAMERON CT
Second Line	:	SUITE 402
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-4114
Country	:	US
Telephone Number	:	301-961-6020
Fax Number	:	301-260-2838

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

Provider Enumeration Date	:	09/01/2006
Last Update Date	:	10/26/2007

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