Provider Demographics
NPI:1881713402
Name:DOYLE, VEENA S (DC)
Entity type:Individual
Prefix:DR
First Name:VEENA
Middle Name:S
Last Name:DOYLE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12805 OLD FORT RD
Mailing Address - Street 2:SUITE # 202
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20744-2874
Mailing Address - Country:US
Mailing Address - Phone:301-292-1960
Mailing Address - Fax:301-292-1068
Practice Address - Street 1:12805 OLD FORT RD
Practice Address - Street 2:SUITE # 202
Practice Address - City:FORT WASHINGTON
Practice Address - State:MD
Practice Address - Zip Code:20744-2874
Practice Address - Country:US
Practice Address - Phone:301-292-1960
Practice Address - Fax:301-292-1068
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS01858111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD68615001OtherCAREFIRST
MD00B963D84Medicare ID - Type UnspecifiedINDIVIDUAL #
MDU57398Medicare UPIN