Provider Demographics
NPI:1164688172
Name:RITLAND, GERALD DAVID (MD)
Entity type:Individual
Prefix:DR
First Name:GERALD
Middle Name:DAVID
Last Name:RITLAND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:G.
Other - Middle Name:DAVID
Other - Last Name:RITLAND
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1663 34TH ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20007-2742
Mailing Address - Country:US
Mailing Address - Phone:202-337-3954
Mailing Address - Fax:202-337-3955
Practice Address - Street 1:1663 34TH ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007-2742
Practice Address - Country:US
Practice Address - Phone:202-337-3954
Practice Address - Fax:202-337-3955
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-30
Last Update Date:2008-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD30145207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTB38599Medicare UPIN