MEDICARE: EMIL I COHEN 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	2085R0204X	Vascular & Interventional Radiology Physician	MD037276	DC
2	2085R0202X	Diagnostic Radiology Physician	MD037276	DC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00752493	OTHER	DC	RAILROAD MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1952303356
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMIL I COHEN MD

Provider Business Mailing Address
First Line	:	4061 POWDER MILL RD
Second Line	:	SUITE 210
City	:	CALVERTON
State	:	MD
Zip	:	20705-3149
Country	:	US
Telephone Number	:	202-669-8501
Fax Number	:	240-846-1490

Provider Business Practice Location Address
First Line	:	110 IRVING ST NW
Second Line	:	DEPARTMENT OF RADIOLOGY
City	:	WASHINGTON
State	:	DC
Zip	:	20010-3017
Country	:	US
Telephone Number	:	202-877-6429
Fax Number	:	202-877-8626

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

Provider Enumeration Date	:	08/15/2005
Last Update Date	:	07/14/2015

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Directions to “ EMIL I COHEN MD” Practice Location

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