Provider Demographics
NPI:1558422907
Name:COLLINS, TAMI RENEE (MD)
Entity Type:Individual
Prefix:DR
First Name:TAMI
Middle Name:RENEE
Last Name:COLLINS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2101 E JEFFERSON ST
Mailing Address - Street 2:KAISER PERMANENTE MEDICARE ENROLLMENT
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-4908
Mailing Address - Country:US
Mailing Address - Phone:301-816-6660
Mailing Address - Fax:301-816-6308
Practice Address - Street 1:6104 OLD BRANCH AVE
Practice Address - Street 2:KAISER PERMANENTE CAMP SPRINGS MEDICAL CENTER
Practice Address - City:TEMPLE HILLS
Practice Address - State:MD
Practice Address - Zip Code:20748-2518
Practice Address - Country:US
Practice Address - Phone:301-702-6100
Practice Address - Fax:301-702-6366
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2022-02-08
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Provider Licenses
StateLicense IDTaxonomies
VA0101249788208000000X
DCMD30788208000000X
MDD0051701208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
011204M92Medicare ID - Type Unspecified
G60690Medicare UPIN