Provider Demographics
NPI:1639145303
Name:BIRSCHBACH, H ROBERT (MD)
Entity type:Individual
Prefix:
First Name:H ROBERT
Middle Name:
Last Name:BIRSCHBACH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10110 MOLECULAR DR STE 206
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-7542
Mailing Address - Country:US
Mailing Address - Phone:301-279-2779
Mailing Address - Fax:301-279-2767
Practice Address - Street 1:10110 MOLECULAR DR STE 206
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-7542
Practice Address - Country:US
Practice Address - Phone:301-279-2779
Practice Address - Fax:301-279-2767
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2017-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0004115207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD41102703OtherCAREFIRST MD
DC52970006OtherCAREFIRST DC
2469271005OtherCIGNA
MD110184429OtherRAILROAD MEDICARE
MD799921600Medicaid
MD000967Medicare Oscar/Certification
MD110184429OtherRAILROAD MEDICARE
MD002614A94Medicare Oscar/Certification