Individual
CARLOS COLLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14901 BROSCHART RD, ROCKVILLE, MD 20850-3318
(703) 698-5220
(703) 573-2351
Mailing address
8500 EXECUTIVE PARK AVE, SUITE 200, FAIRFAX, VA 22031-2225
(703) 698-5220
(703) 573-2351
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
1609850171
IL
2084P0800X
Psychiatry Physician
Primary
D0058156
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0082
CAREFIRST
DC
01
—
3137599
MAMSI
—
05
—
407682600
—
MD
01
—
710036
NCPPO
—
01
—
7874811
AETNA
—
Enumeration date
11/30/2005
Last updated
04/21/2026
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