Provider Demographics
NPI:1912098948
Name:STAHL, NEIL I (MD)
Entity Type:Individual
Prefix:
First Name:NEIL
Middle Name:I
Last Name:STAHL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2730 UNIVERSITY BLVD W STE 310
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:MD
Mailing Address - Zip Code:20902-1990
Mailing Address - Country:US
Mailing Address - Phone:301-942-7600
Mailing Address - Fax:703-573-7767
Practice Address - Street 1:8270 WILLOW OAKS CORPORATE DR STE 150
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-4530
Practice Address - Country:US
Practice Address - Phone:301-942-7600
Practice Address - Fax:703-573-7767
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2021-12-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101030269207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA541873924OtherTRICARE
VA5833094Medicaid
110176686OtherRAILROAD MEDICARE
VA065856OtherBCBS
4279696OtherAETNA US HEALTHCARE
210210OtherTRIGON FEP
333779OtherALLIANCE GEHA
4279696OtherAETNA US HEALTHCARE
110176686OtherRAILROAD MEDICARE
VA00W992A01Medicare PIN