Provider Demographics
NPI:1629270236
Name:CARGILL, VICTORIA ANN (MD, MSCE)
Entity Type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:ANN
Last Name:CARGILL
Suffix:
Gender:F
Credentials:MD, MSCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5635 FISHERS LANE
Mailing Address - Street 2:SUITE 4000
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20892-9309
Mailing Address - Country:US
Mailing Address - Phone:301-402-2932
Mailing Address - Fax:301-480-5305
Practice Address - Street 1:5635 FISHERS LANE
Practice Address - Street 2:SUITE 4000
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-9309
Practice Address - Country:US
Practice Address - Phone:301-402-2932
Practice Address - Fax:301-480-5305
Is Sole Proprietor?:No
Enumeration Date:2007-06-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH51086207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine