Provider Demographics
NPI:1811107162
Name:ARMELLINI, DENISE R (MD)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:R
Last Name:ARMELLINI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3025 HAMAKER CT
Mailing Address - Street 2:SUITE 400
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-2237
Mailing Address - Country:US
Mailing Address - Phone:703-873-7425
Mailing Address - Fax:703-873-7426
Practice Address - Street 1:3025 HAMAKER CT
Practice Address - Street 2:SUITE 400
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-2237
Practice Address - Country:US
Practice Address - Phone:703-873-7425
Practice Address - Fax:703-873-7426
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD71184207RE0101X
VA0101249673207RE0101X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
G4810007OtherCAREFIRST DC
6447943OtherAETNA HMO
6489265OtherAETNA HMO (SILVER SPRING ONLY)
9273084OtherAETNA PPO
96876001OtherCAREFIRST MARYLAND
6489265OtherAETNA HMO (SILVER SPRING ONLY)
6489265OtherAETNA HMO (SILVER SPRING ONLY)
MD512016100Medicaid