Provider Demographics
NPI:1902950900
Name:ANDERSON, SHEILA YVETTE (MD)
Entity Type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:YVETTE
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2101 EAST JEFFERSON STREET
Mailing Address - Street 2:KAISER PERMANENTE, PPQA, 6 WEST
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852
Mailing Address - Country:US
Mailing Address - Phone:301-816-6660
Mailing Address - Fax:301-816-6308
Practice Address - Street 1:110 IRVING STREET
Practice Address - Street 2:SUITE 4B1
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:22010
Practice Address - Country:US
Practice Address - Phone:202-877-5975
Practice Address - Fax:202-877-2718
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2021-06-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101237310207R00000X
MDD62324207R00000X
DCMD035236207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
017443K92Medicare ID - Type Unspecified
G33925Medicare UPIN