Provider Demographics
NPI:1477543973
Name:KEYS, IRIS ROMAINE (MD)
Entity Type:Individual
Prefix:DR
First Name:IRIS
Middle Name:ROMAINE
Last Name:KEYS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:11508 GUNPOWDER DR
Mailing Address - Street 2:
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20744-4226
Mailing Address - Country:US
Mailing Address - Phone:301-203-7931
Mailing Address - Fax:301-203-6560
Practice Address - Street 1:9501 FARRELL RD
Practice Address - Street 2:INTERNAL MEDICINE CLINIC
Practice Address - City:FORT BELVOIR
Practice Address - State:VA
Practice Address - Zip Code:22060-5901
Practice Address - Country:US
Practice Address - Phone:703-805-0329
Practice Address - Fax:703-805-9979
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-26
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD41867207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDF26051Medicare UPIN