Provider Demographics
NPI:1588619878
Name:KAZIN, REBECCA APPEL (MD)
Entity type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:APPEL
Last Name:KAZIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5550 FRIENDSHIP BLVD SUITE 110
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815
Mailing Address - Country:US
Mailing Address - Phone:240-394-8385
Mailing Address - Fax:240-394-8390
Practice Address - Street 1:5550 FRIENDSHIP BLVD SUITE 110
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815
Practice Address - Country:US
Practice Address - Phone:240-394-8385
Practice Address - Fax:240-394-8390
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2016-12-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0063143207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD407967100Medicaid
MDI37534Medicare UPIN
MD407967100Medicaid