Provider Demographics
NPI:1538223920
Name:RADIN, ROBERT PAUL (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:PAUL
Last Name:RADIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4001 NORTH 9TH STREET
Mailing Address - Street 2:SUITE 220
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22203-1956
Mailing Address - Country:US
Mailing Address - Phone:703-524-1484
Mailing Address - Fax:703-527-1237
Practice Address - Street 1:4001 9TH ST N
Practice Address - Street 2:SUITE 220
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22203-1956
Practice Address - Country:US
Practice Address - Phone:703-524-1484
Practice Address - Fax:703-527-1237
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2010-11-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA01010295422084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
D 05592Medicare UPIN