Provider Demographics
NPI:1144280272
Name:KEITH, MICHAEL PATRICK (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:PATRICK
Last Name:KEITH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 37174
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21297-3174
Mailing Address - Country:US
Mailing Address - Phone:571-423-5699
Mailing Address - Fax:571-423-5698
Practice Address - Street 1:8100 BOONE BLVD STE 700
Practice Address - Street 2:
Practice Address - City:TYSONS
Practice Address - State:VA
Practice Address - Zip Code:22182-2683
Practice Address - Country:US
Practice Address - Phone:571-423-5699
Practice Address - Fax:571-423-5698
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2021-02-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101058187207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology