Individual
DR. ERROL KEITH DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15005 SHADY GROVE RD STE 130, ROCKVILLE, MD 20850-6341
(301) 517-9710
(301) 517-9713
Mailing address
15005 SHADY GROVE RD STE 450, ROCKVILLE, MD 20850-6377
(301) 517-9710
(301) 517-9713
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0064791
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013709000
—
MD
Enumeration date
03/23/2007
Last updated
05/09/2023
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