Provider Demographics
NPI:1720366578
Name:DESMOND, RONAN (MD)
Entity Type:Individual
Prefix:DR
First Name:RONAN
Middle Name:
Last Name:DESMOND
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:NHLBI, 9000 ROCKVILLE PIKE
Mailing Address - Street 2:ROOM 3E-5256, BUILDING 10CRC,
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20892
Mailing Address - Country:US
Mailing Address - Phone:301-451-7143
Mailing Address - Fax:
Practice Address - Street 1:NHLBI 9000 ROCKVILLE PIKE
Practice Address - Street 2:ROOM 3E-5256, BUILDING 10-CRC,
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-0001
Practice Address - Country:US
Practice Address - Phone:301-451-7143
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-28
Last Update Date:2011-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ23719284300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital