Provider Demographics
NPI:1508876608
Name:DELMONTE, LINNIE ARAGON (MD)
Entity Type:Individual
Prefix:
First Name:LINNIE
Middle Name:ARAGON
Last Name:DELMONTE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:604 RIVERBEND RD.
Mailing Address - Street 2:
Mailing Address - City:FT. WASHINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20744
Mailing Address - Country:US
Mailing Address - Phone:301-567-4894
Mailing Address - Fax:301-567-1999
Practice Address - Street 1:6196 OXON HILL RAOD
Practice Address - Street 2:SUITE 270
Practice Address - City:OXON HILL
Practice Address - State:MD
Practice Address - Zip Code:20745
Practice Address - Country:US
Practice Address - Phone:301-567-4894
Practice Address - Fax:301-567-4894
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00209272084P0800X
DCMD143822084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
B93496Medicare UPIN
119856Medicare ID - Type Unspecified