Provider Demographics
NPI:1881649432
Name:ARNOLD, DAGMAR R (MD)
Entity Type:Individual
Prefix:DR
First Name:DAGMAR
Middle Name:R
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:17212 PALOMINO CT
Mailing Address - Street 2:
Mailing Address - City:OLNEY
Mailing Address - State:MD
Mailing Address - Zip Code:20832-2516
Mailing Address - Country:US
Mailing Address - Phone:301-260-2130
Mailing Address - Fax:301-260-2140
Practice Address - Street 1:18111 PRINCE PHILIP DR
Practice Address - Street 2:SUITE T-13
Practice Address - City:OLNEY
Practice Address - State:MD
Practice Address - Zip Code:20832-1513
Practice Address - Country:US
Practice Address - Phone:301-260-2130
Practice Address - Fax:301-260-2140
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DCMD30795207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD780012600Medicaid
MD780012600Medicaid
MD490970Medicare ID - Type Unspecified