Provider Demographics
NPI:1740449271
Name:PITTMAN, TROY ALLEN (MD)
Entity type:Individual
Prefix:DR
First Name:TROY
Middle Name:ALLEN
Last Name:PITTMAN
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 1:2440 M ST NW STE 507
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-1429
Mailing Address - Country:US
Mailing Address - Phone:202-810-7700
Mailing Address - Fax:202-827-0592
Practice Address - Street 1:2440 M ST NW STE 507
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037
Practice Address - Country:US
Practice Address - Phone:202-810-7700
Practice Address - Fax:202-827-0592
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-09
Last Update Date:2018-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD0398172086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty