Provider Demographics
NPI:1942761812
Name:CONROY, DYLAN REID (MD)
Entity Type:Individual
Prefix:DR
First Name:DYLAN
Middle Name:REID
Last Name:CONROY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3800 RESERVOIR RD NW
Mailing Address - Street 2:LL BLES BUILDING
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20007-2113
Mailing Address - Country:US
Mailing Address - Phone:202-444-3320
Mailing Address - Fax:202-444-9323
Practice Address - Street 1:3800 RESERVOIR RD NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007-2113
Practice Address - Country:US
Practice Address - Phone:202-444-5022
Practice Address - Fax:202-444-7987
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-25
Last Update Date:2023-12-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA1910642085R0001X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology