Individual
DR. AYANA C MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5530 WISCONSIN AVE, SUITE 1550, CHEVY CHASE, MD 20815-4404
(301) 220-1333
(301) 220-1533
Mailing address
13909 GLENLIVET GRV, LAUREL, MD 20707-6912
(917) 796-9584
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
D74972
MD
208VP0000X
Pain Medicine Physician
Primary
D74972
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
255933YDE9
MEDICARE PTAN
MD
Enumeration date
03/19/2008
Last updated
02/27/2014
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