Provider Demographics
NPI:1992866420
Name:CARDILE, ANNE (MD)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:
Last Name:CARDILE
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 1:7705 IRONFORGE CT
Mailing Address - Street 2:
Mailing Address - City:DERWOOD
Mailing Address - State:MD
Mailing Address - Zip Code:20855-2257
Mailing Address - Country:US
Mailing Address - Phone:202-508-0500
Mailing Address - Fax:202-508-0525
Practice Address - Street 1:425 2ND ST NW
Practice Address - Street 2:UNITY HEALTH CARE
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001-2003
Practice Address - Country:US
Practice Address - Phone:202-508-0500
Practice Address - Fax:202-508-0525
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2012-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD034971207R00000X
MDD72465207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC024905300Medicaid
DC024905300Medicaid