Provider Demographics
NPI:1053456343
Name:PICKAR, DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:PICKAR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6500 SEVEN LOCKS RD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:CABIN JOHN
Mailing Address - State:MD
Mailing Address - Zip Code:20818-1300
Mailing Address - Country:US
Mailing Address - Phone:301-263-1313
Mailing Address - Fax:301-229-1815
Practice Address - Street 1:6500 SEVEN LOCKS RD
Practice Address - Street 2:SUITE 220
Practice Address - City:CABIN JOHN
Practice Address - State:MD
Practice Address - Zip Code:20818-1300
Practice Address - Country:US
Practice Address - Phone:301-263-1313
Practice Address - Fax:301-229-1815
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD00392902084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD127540Medicare UPIN