Provider Demographics
NPI:1427016591
Name:RYAN, FRANK M (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:M
Last Name:RYAN
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 1:12805 LOST LAKE CIR
Mailing Address - Street 2:
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20744-6307
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11701 LIVINGSTON RD
Practice Address - Street 2:SUITE 103
Practice Address - City:FORT WASHINGTON
Practice Address - State:MD
Practice Address - Zip Code:20744-5104
Practice Address - Country:US
Practice Address - Phone:301-292-7270
Practice Address - Fax:301-203-0740
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2009-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0019431207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD0400752OtherEVERCARE
MH0780385OtherAETNA US HEALTHCARE
MH1417045013OtherCIGNA
MD9711OtherKAISER
MD0400048OtherUNTD HLTHC AMERI-CHOICE
DC25970007OtherBCBSNCA
MD521973185OtherPHCS
DC26667100Medicaid
MD498199OtherNCPPO
MD4053590OtherAETNA
MD42021409OtherBCBS OF MARYLAND
MH02133000000OtherPREFERRED HEALTH
MD256066OtherMAMSI/ALLIANCE
MD521973185OtherFIDELITY PMG
MD521973185OtherUNITED HEALTHCARE
MD973631000Medicaid
MD0400752OtherEVERCARE
MD131625Y3NMedicare PIN
MD9711OtherKAISER
MD4053590OtherAETNA
MH0780385OtherAETNA US HEALTHCARE
MH02133000000OtherPREFERRED HEALTH