Provider Demographics
NPI:1619164035
Name:AZEVEDO, ROMEU MANUEL (MD)
Entity Type:Individual
Prefix:
First Name:ROMEU
Middle Name:MANUEL
Last Name:AZEVEDO
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 1:5801 ALLENTOWN RD
Mailing Address - Street 2:SUITE 500
Mailing Address - City:CAMP SPRINGS
Mailing Address - State:MD
Mailing Address - Zip Code:20746-4563
Mailing Address - Country:US
Mailing Address - Phone:301-899-7713
Mailing Address - Fax:301-899-9430
Practice Address - Street 1:5801 ALLENTOWN RD
Practice Address - Street 2:STE 500
Practice Address - City:CAMP SPRINGS
Practice Address - State:MD
Practice Address - Zip Code:20746-4518
Practice Address - Country:US
Practice Address - Phone:301-899-7713
Practice Address - Fax:301-899-9430
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-30
Last Update Date:2020-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD036508207R00000X
MDD0068935207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine