Provider Demographics
NPI:1598759888
Name:REID, DAHLIA E (MD)
Entity Type:Individual
Prefix:DR
First Name:DAHLIA
Middle Name:E
Last Name:REID
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:9506 COLUMBIA BLVD
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-1531
Mailing Address - Country:US
Mailing Address - Phone:240-650-5677
Mailing Address - Fax:240-242-7942
Practice Address - Street 1:5550 FRIENDSHIP BLVD STE 360
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-7256
Practice Address - Country:US
Practice Address - Phone:240-650-5677
Practice Address - Fax:240-242-7942
Is Sole Proprietor?:No
Enumeration Date:2005-09-01
Last Update Date:2020-11-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ34326207R00000X
MDD70922207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ953407Medicaid
MD376751500Medicaid
AZP00245442Medicare PIN
AZZ105148Medicare PIN
I39810Medicare UPIN
MD376751500Medicaid