Pedraza, Roberto

Pedraza, Roberto is an individual health care provider with primary practice located at 9420 Key West Ave. #420, Rockville MD 20850. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Pedraza, Roberto can be contacted via phone (301) 258-1919.

Contact Information

Primary practice address
9420 Key West Ave. #420 Rockville MD 20850
Fax: (301) 258-9180
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X D0056187 Maryland

Profile Details

NPI number 1053419614
LBN Legal business name Pedraza, Roberto
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Sep 8th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053419614 NPPES
Maryland MEDICAID 398641101

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