Individual
DR. DAVID ROBERT WHITTAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
WALTER REED NATIONAL MILITARY CTR, 8901 WISCONSIN AVE, BETHESDA, MD 20889-0001
(301) 295-4779
Mailing address
PO BOX 64323, BALTIMORE, MD 21264-4323
(443) 481-6549
(443) 481-6515
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
0101232175
VA
2086S0129X
Vascular Surgery Physician
Primary
D0064058
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002
BCBS
—
01
—
1608437
AETNA HMO
—
05
—
413222000
—
MD
01
—
7581925
AETNA PPO
—
01
—
90710501
BCBS
—
01
—
90710502
BCBS
—
Enumeration date
01/19/2006
Last updated
03/29/2017
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