Provider Demographics
NPI:1649218074
Name:WEICHOLD, KATRIN C (MD)
Entity Type:Individual
Prefix:DR
First Name:KATRIN
Middle Name:C
Last Name:WEICHOLD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6406 STONEHAM RD
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-1628
Mailing Address - Country:US
Mailing Address - Phone:301-530-5965
Mailing Address - Fax:301-774-0652
Practice Address - Street 1:11016 NEW HAMPSHIRE AVE
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-2602
Practice Address - Country:US
Practice Address - Phone:301-681-3300
Practice Address - Fax:301-681-4777
Is Sole Proprietor?:No
Enumeration Date:2006-06-04
Last Update Date:2010-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD035358174400000X
MDD0057121174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist