Individual
THOMAS M. KEAHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19221 MONTGOMERY VILLAGE AVE, C-12, MONTGOMERY VILLAGE, MD 20886-5022
(301) 840-2266
(301) 840-5879
Mailing address
15245 SHADY GROVE RD, STE 370, ROCKVILLE, MD 20850-6237
(240) 246-7417
(240) 477-4364
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
DOO29621
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
758331100
—
MD
Enumeration date
07/15/2005
Last updated
06/06/2017
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