Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | D0060942 | MD |
N | 207V00000X | Obstetrician & Gynecologist | MD33866 | DC |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | D60942 | MD |
NPI | 1447222088 |
---|---|
Provider Name | Dr. Mava Briana Robinson-Walton |
First Address | Fulton, MD 20759-2694 |
Second Address | Silver Spring, MD 20902-5020 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2006 |
Last Update Date | 11/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
006205551 | (05) | DC |
010216249 | (05) | MD |
034192800 | (05) | DC |
1782731 | AETNA HMO (01) | |
511206100 | (05) | DC |
511206101 | (05) | MD |
7984083 | AETNA PPO (01) | |
93604502 | BCBS MD (01) | |
93604503 | BCBS MARYLAND (01) | |
93604504 | BCBS (01) | MD |
D60942 | STATE LICENSE (01) | MD |
G99740 | (02) | DC |
N4350001 | BCBS DC (01) | |
X3640002 | BCBS (01) | DC |