Provider Demographics
NPI:1316963903
Name:SNYDER, DOUGLAS S (MD)
Entity type:Individual
Prefix:
First Name:DOUGLAS
Middle Name:S
Last Name:SNYDER
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 1:153 QUINCY ST
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-3320
Mailing Address - Country:US
Mailing Address - Phone:301-652-6124
Mailing Address - Fax:
Practice Address - Street 1:153 QUINCY ST
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-3320
Practice Address - Country:US
Practice Address - Phone:301-652-6124
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2019-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD31220207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC0138OtherCAREFIRST BCBS
DC034588100Medicaid
DC240229OtherKAISER
DC3033028OtherAETNA HMO
DC523104OtherNCPPO
VA5720338Medicaid
VA288725OtherANTHEM BCBS
DC4539272OtherAETNA NON HMO
MD434021301Medicaid