Provider Demographics
NPI:1134764145
Name:WHITMAN, PATRICK H (PA-C)
Entity type:Individual
Prefix:
First Name:PATRICK
Middle Name:H
Last Name:WHITMAN
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5454 WISCONSIN AVE STE 1045
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-6917
Mailing Address - Country:US
Mailing Address - Phone:301-652-4828
Mailing Address - Fax:
Practice Address - Street 1:3430 WORTHINGTON BLVD STE 205
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21704-7019
Practice Address - Country:US
Practice Address - Phone:433-351-3376
Practice Address - Fax:301-732-4878
Is Sole Proprietor?:No
Enumeration Date:2019-11-13
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MD1166115363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant