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NPI Code Detail

MEDICARE: DR. TAMI RENEE COLLINS MD

MEDICARE: DR. TAMI RENEE COLLINS 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
1208000000XPediatrics Physician0101249788VA
2208000000XPediatrics PhysicianMD30788DC
3208000000XPediatrics PhysicianD0051701MD

General Provider Information

NPI Number : 1558422907
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TAMI RENEE COLLINS MD
Provider Business Mailing Address
First Line : 2101 E JEFFERSON ST
Second Line : KAISER PERMANENTE MEDICARE ENROLLMENT
City : ROCKVILLE
State : MD
Zip : 20852-4908
Country : US
Telephone Number : 301-816-6660
Fax Number : 301-816-6308
Provider Business Practice Location Address
First Line : 6104 OLD BRANCH AVE
Second Line : KAISER PERMANENTE CAMP SPRINGS MEDICAL CENTER
City : TEMPLE HILLS
State : MD
Zip : 20748-2518
Country : US
Telephone Number : 301-702-6100
Fax Number : 301-702-6366
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2006
Last Update Date : 02/08/2022

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