Provider Demographics
NPI:1598700353
Name:KREITMANN, OLIVIER L (MD)
Entity Type:Individual
Prefix:
First Name:OLIVIER
Middle Name:L
Last Name:KREITMANN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8720 GEORGIA AVE
Mailing Address - Street 2:#1005
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910
Mailing Address - Country:US
Mailing Address - Phone:301-587-3714
Mailing Address - Fax:301-587-3719
Practice Address - Street 1:8720 GEORGIA AVE
Practice Address - Street 2:#1005
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910
Practice Address - Country:US
Practice Address - Phone:301-587-3714
Practice Address - Fax:301-587-3719
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-17
Last Update Date:2014-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD33580207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC57770001OtherCAREFIRST DC
4087434OtherAETNA
MD51210LOtherCAREFIRST MD
DC57770001OtherCAREFIRST DC
4087434OtherAETNA