Provider Demographics
NPI:1780626580
Name:COHEN, ALAN (MD)
Entity type:Individual
Prefix:
First Name:ALAN
Middle Name:
Last Name:COHEN
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 1:4110 ASPEN HILL RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20853-2853
Mailing Address - Country:US
Mailing Address - Phone:301-438-5150
Mailing Address - Fax:301-460-0199
Practice Address - Street 1:10215 FERNWOOD RD
Practice Address - Street 2:SUITE 602
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-1106
Practice Address - Country:US
Practice Address - Phone:301-530-6646
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2013-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00227882085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA007205511Medicaid
VA007235518Medicaid
VA010042062Medicaid
VA010070767Medicaid
300048429OtherRAILROAD MEDICARE - MRI
VA007214260Medicaid
DC023425400Medicaid
MD345561100Medicaid
VA007603258Medicaid
300048395OtherRAILROAD MEDICARE - CRA
300048476OtherRAILROAD MEDICARE - KPR
013111M14Medicare ID - Type UnspecifiedMONTGOMERY COMMUNITY MAGN
VA007235518Medicaid
VA007205511Medicaid
VA007214260Medicaid
438268C10Medicare ID - Type UnspecifiedCOMMUNITY RADIOLOGY