Provider Demographics
NPI:1750355905
Name:PILKERTON, A. RAYMOND (MD)
Entity type:Individual
Prefix:DR
First Name:A.
Middle Name:RAYMOND
Last Name:PILKERTON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7501 GREENWAY CENTER DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-3514
Mailing Address - Country:US
Mailing Address - Phone:301-474-4679
Mailing Address - Fax:301-474-7182
Practice Address - Street 1:8505 ARLINGTON BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-4621
Practice Address - Country:US
Practice Address - Phone:703-698-9335
Practice Address - Fax:703-207-0038
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2009-12-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0012751207W00000X
VA0101016788207W00000X
DCMD2607207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA006306721Medicaid
MD270761600Medicaid
MD270761601Medicaid
VA006306942Medicaid
DC031098600Medicaid
MD270761601Medicaid
D09436Medicare UPIN