Provider Demographics
NPI:1760570923
Name:PERKINS, DELBERT LEE (MD)
Entity Type:Individual
Prefix:DR
First Name:DELBERT
Middle Name:LEE
Last Name:PERKINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9560 PENN AVE
Mailing Address - Street 2:SUITE 106
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772
Mailing Address - Country:US
Mailing Address - Phone:301-599-8100
Mailing Address - Fax:301-599-0847
Practice Address - Street 1:9560 PENN AVE
Practice Address - Street 2:SUITE 106
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20772
Practice Address - Country:US
Practice Address - Phone:301-599-8100
Practice Address - Fax:301-599-0847
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD21925207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
C61765Medicare UPIN
076931Medicare ID - Type Unspecified