Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 0101262342 | VA |
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | D0084251 | MD |
Y | 207RC0000X | Internist - Cardiovascular Disease | 0101262342 | VA |
NPI | 1942525381 |
---|---|
Provider Name | Mitchell Adam Psotka |
First Address | Baltimore, MD 21297-3174 |
Second Address | Falls Church, VA 22042-3307 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2010 |
Last Update Date | 02/11/2020 |