Provider Demographics
NPI:1295106078
Name:FRYE, PATRICIA (MD)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:
Last Name:FRYE
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6930 CARROLL AVE
Mailing Address - Street 2:SUITE 412
Mailing Address - City:TAKOMA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20912-4423
Mailing Address - Country:US
Mailing Address - Phone:301-328-3045
Mailing Address - Fax:
Practice Address - Street 1:7676 NEW HAMPSHIRE AVE STE 220A
Practice Address - Street 2:
Practice Address - City:TAKOMA PARK
Practice Address - State:MD
Practice Address - Zip Code:20912-7514
Practice Address - Country:US
Practice Address - Phone:301-431-2972
Practice Address - Fax:301-445-1037
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-19
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101263313208000000X
MDD0028622208000000X, 208VP0000X
DCMD043165208VP0000X
CAA45362208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine