Provider Demographics
NPI:1063411106
Name:URQUHART, JOANN (MD)
Entity type:Individual
Prefix:
First Name:JOANN
Middle Name:
Last Name:URQUHART
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9420 KEY WEST AVE STE 340
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-6257
Mailing Address - Country:US
Mailing Address - Phone:301-762-4202
Mailing Address - Fax:301-424-0467
Practice Address - Street 1:9420 KEY WEST AVE STE 340
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-6257
Practice Address - Country:US
Practice Address - Phone:301-762-4202
Practice Address - Fax:301-424-0467
Is Sole Proprietor?:No
Enumeration Date:2005-07-20
Last Update Date:2019-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0025881207RA0001X, 207RH0005X, 2086S0129X, 207RI0011X
MDD002588207UN0902X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RA0001XAllopathic & Osteopathic PhysiciansInternal MedicineAdvanced Heart Failure and Transplant Cardiology
No207RH0005XAllopathic & Osteopathic PhysiciansInternal MedicineHypertension Specialist
No207UN0902XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Imaging & Therapy
No2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD429741500Medicaid
MD435988Medicare PIN
MD429741500Medicaid