Provider Demographics
NPI:1235173279
Name:PION, SIDNEY J (MD)
Entity Type:Individual
Prefix:
First Name:SIDNEY
Middle Name:J
Last Name:PION
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4110 ASPEN HILL RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20853-2853
Mailing Address - Country:US
Mailing Address - Phone:301-438-5150
Mailing Address - Fax:301-460-0199
Practice Address - Street 1:4110 ASPEN HILL RD
Practice Address - Street 2:SUITE 200
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20853-2853
Practice Address - Country:US
Practice Address - Phone:301-438-5150
Practice Address - Fax:301-460-0199
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2013-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00187682085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010074185Medicaid
VA010074967Medicaid
VA010074975Medicaid
MD310101100Medicaid
VA007232420Medicaid
VA007232438Medicaid
VA007205597Medicaid
DC022849600Medicaid
VA010074959Medicaid
VA007207301Medicaid
008804M14Medicare PIN
008804K90Medicare PIN
VA010074975Medicaid
B92737Medicare UPIN
VA010074967Medicaid