Individual
KEITH M LINDGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7901 MAPLE AVE, TAKOMA PARK, MD 20912
(301) 891-7000
(301) 891-7009
Mailing address
15215 SHADY GROVE RD, SUITE 306, ROCKVILLE, MD 20850-3235
(301) 990-0040
(301) 990-0043
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D0007966
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821078437
INDIVIDUAL NPI
MD
01
—
1912021619
GROUP NPI
MD
05
—
212321500
—
MD
01
—
41270206
BCBS-MD
MD
01
—
47870001
BCBS-DC
DC
Enumeration date
01/19/2006
Last updated
07/29/2014
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