Provider Demographics
NPI:1891775870
Name:FOUSHEE, JAN DIXON (MD)
Entity Type:Individual
Prefix:DR
First Name:JAN
Middle Name:DIXON
Last Name:FOUSHEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:8116 GOOD LUCK RD
Mailing Address - Street 2:SUITE 305
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-3502
Mailing Address - Country:US
Mailing Address - Phone:301-552-1200
Mailing Address - Fax:301-552-1202
Practice Address - Street 1:8116 GOOD LUCK RD
Practice Address - Street 2:SUITE 305
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-3502
Practice Address - Country:US
Practice Address - Phone:301-552-1200
Practice Address - Fax:301-552-1202
Is Sole Proprietor?:No
Enumeration Date:2006-01-18
Last Update Date:2019-06-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0046518207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD324123800Medicaid
MD324123800Medicaid
DC008844Medicare PIN