Organization
THOMAS M KEAHEY, MD, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS MARION KEAHEY M.D. (PRESIDENT)
(202) 452-1323
Entity
Organization
Contact information
Practice address
1120 19TH ST NW, SUITE 420, WASHINGTON, DC 20036-3605
(202) 452-1323
(202) 452-6822
Mailing address
1120 19TH ST NW, SUITE 420, WASHINGTON, DC 20036-3605
(202) 452-1323
(202) 452-6822
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD14032
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0539179
AETNA
—
01
—
9456
BLUECROSS BLUESHIELD
—
Enumeration date
05/10/2007
Last updated
08/22/2020
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