Provider Demographics
NPI:1073692885
Name:SCHNEIDER, ALAN I (MD)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:I
Last Name:SCHNEIDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:9910 FRANKLIN SQUARE DR STE 2110
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21236-4902
Mailing Address - Country:US
Mailing Address - Phone:410-933-5412
Mailing Address - Fax:
Practice Address - Street 1:8630 FENTON ST STE 1105
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-3861
Practice Address - Country:US
Practice Address - Phone:301-681-9095
Practice Address - Fax:410-367-2114
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0040611207RC0000X
MD40611207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD100071300Medicaid
0787143OtherAETNA
24324OtherMAMSI
MDKA62ITOtherBLUE CROSS
DC58030005OtherBLUE CROSS
CM6438OtherRAILROAD MEDICARE
4086234OtherUNITED HEALTHCARE
4086234OtherUNITED HEALTHCARE
0787143OtherAETNA