Provider Demographics
NPI:1134206741
Name:PALMER, RICHARD L (MD)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:L
Last Name:PALMER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7801 OLD BRANCH AVE STE 409
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-1644
Mailing Address - Country:US
Mailing Address - Phone:301-868-7121
Mailing Address - Fax:301-877-1934
Practice Address - Street 1:106 IRVING ST NW
Practice Address - Street 2:STE 422 POB SOUTH TOWER
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2927
Practice Address - Country:US
Practice Address - Phone:202-877-0698
Practice Address - Fax:202-877-6959
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2025-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD31979207RN0300X
MDD0055120207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
0771 0007OtherBLUE CHOICE
DC034639100Medicaid
DC0771 0007OtherCAREFIRST
92500OtherAMERIGROUP
517465OtherMDIPA/OPTIMUM CHOICE
17082OtherCHARTERED
1965OtherELDER HEALTH
004489K44Medicare ID - Type Unspecified
17082OtherCHARTERED
H07239Medicare UPIN