Provider Demographics
NPI:1609868983
Name:EMANUEL, ERIC R (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:R
Last Name:EMANUEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1227 MASSACHUSETTS AVE SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20003-1499
Mailing Address - Country:US
Mailing Address - Phone:301-477-2000
Mailing Address - Fax:301-474-2389
Practice Address - Street 1:7500 GREENWAY CENTER DR
Practice Address - Street 2:8TH FLOOR
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-3502
Practice Address - Country:US
Practice Address - Phone:301-477-2000
Practice Address - Fax:301-474-2389
Is Sole Proprietor?:No
Enumeration Date:2005-08-22
Last Update Date:2020-04-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DCMD31646208800000X
MDD0054719208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
023307OtherPRIORITY PARTNERS
371133OtherOPTIMUM CHOICE
5792787OtherAETNA PPO
P00439847OtherRAILROAD MEDICARE
1470675OtherAETNA HMO
4520989OtherCIGNA
1901965OtherUNITED HEALTHCARE AMERICHOICE
023307OtherJOHN HOPKINS
432105237OtherBRAVO HEALTH
57620002OtherBCBS DC
88146705OtherBCBS MD
57620002OtherBCBS DC
4520989OtherCIGNA
432105237OtherBRAVO HEALTH