Provider Demographics
NPI:1780688762
Name:KEVESS-COHEN, RUTH (MD)
Entity Type:Individual
Prefix:DR
First Name:RUTH
Middle Name:
Last Name:KEVESS-COHEN
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 1:8700 GEORGIA AVE
Mailing Address - Street 2:STE 400
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-3605
Mailing Address - Country:US
Mailing Address - Phone:301-585-6980
Mailing Address - Fax:301-588-7365
Practice Address - Street 1:8700 GEORGIA AVE
Practice Address - Street 2:STE 400
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-3605
Practice Address - Country:US
Practice Address - Phone:301-585-6980
Practice Address - Fax:301-588-7365
Is Sole Proprietor?:No
Enumeration Date:2005-06-08
Last Update Date:2012-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDDD0033159207R00000X, 207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD431041100Medicaid
MD093081400Medicaid
MD093081400Medicaid
E57922Medicare UPIN
DC639913Medicare ID - Type UnspecifiedGROUP NUMBER
110039674Medicare ID - Type UnspecifiedMEDICARE RAILROAD GRP NO.
MD431041100Medicaid