Provider Demographics
NPI:1548218027
Name:LOHMAN, CHERYL DANKE (MD)
Entity Type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:DANKE
Last Name:LOHMAN
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 1:6000 EXECUTIVE BLVD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-3803
Mailing Address - Country:US
Mailing Address - Phone:301-468-8999
Mailing Address - Fax:
Practice Address - Street 1:19500 AMARANTH DR
Practice Address - Street 2:SUITE B
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874-1209
Practice Address - Country:US
Practice Address - Phone:301-528-7110
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0055594207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD8140392OtherOPTIMUM CHOICE PROV #
MD681512OtherNCCPO PROVIDER NUMBER
MD8140392OtherALLIANCE PROVIDER NUMBER
MD8140392OtherMDIPA PROVIDER NUMBER
MD9070 0027OtherBSDC PROVIDER NUMBER
MD60755301OtherBSMD PROVIDER NUMBER
MD8140392OtherMAMSI PROVIDER NUMBER
H42049Medicare UPIN
MD681512OtherNCCPO PROVIDER NUMBER