MEDICARE: DR. ALAN OROXOM M.D.

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	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	ME169895	FL
2	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	101372	WI
3	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	D0055597	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1790770410
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALAN OROXOM M.D.

Provider Business Mailing Address
First Line	:	200 SAINT LAWRENCE DR
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20901-2503
Country	:	US
Telephone Number	:	301-466-9336
Fax Number	:

Provider Business Practice Location Address
First Line	:	18207A FLOWER HILL WAY
Second Line	:
City	:	GAITHERSBURG
State	:	MD
Zip	:	20879-5331
Country	:	US
Telephone Number	:	301-926-4707
Fax Number	:	301-926-4708

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

Provider Enumeration Date	:	09/19/2005
Last Update Date	:	08/19/2024

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Directions to “ DR. ALAN OROXOM M.D.” Practice Location

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