Provider Demographics
NPI:1952303356
Name:COHEN, EMIL I (MD)
Entity Type:Individual
Prefix:
First Name:EMIL
Middle Name:I
Last Name:COHEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4061 POWDER MILL RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:CALVERTON
Mailing Address - State:MD
Mailing Address - Zip Code:20705-3149
Mailing Address - Country:US
Mailing Address - Phone:202-669-8501
Mailing Address - Fax:240-846-1490
Practice Address - Street 1:110 IRVING ST NW
Practice Address - Street 2:DEPARTMENT OF RADIOLOGY
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-3017
Practice Address - Country:US
Practice Address - Phone:202-877-6429
Practice Address - Fax:202-877-8626
Is Sole Proprietor?:No
Enumeration Date:2005-08-15
Last Update Date:2015-07-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DCMD0372762085R0204X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCP00752493OtherRAILROAD MEDICARE
DC039967400Medicaid
MD415548300Medicaid
DC133881ZHW4Medicare PIN
MD236945ZHVTMedicare PIN
DC039967400Medicaid
MD236945YE60Medicare PIN
DCP00752493OtherRAILROAD MEDICARE
NYI07017Medicare UPIN