Provider Demographics
NPI:1386759355
Name:RHODES, JOLAN SHIRLEY (MD)
Entity type:Individual
Prefix:
First Name:JOLAN
Middle Name:SHIRLEY
Last Name:RHODES
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 1:3331 TOLEDO TER STE 207
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20782-8157
Mailing Address - Country:US
Mailing Address - Phone:301-559-6356
Mailing Address - Fax:301-559-2037
Practice Address - Street 1:3331 TOLEDO TER STE 207
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20782-8157
Practice Address - Country:US
Practice Address - Phone:301-559-6356
Practice Address - Fax:301-559-2037
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0035130208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics