Provider Demographics
NPI:1699720136
Name:RICE, ROBERT LAMAR (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:LAMAR
Last Name:RICE
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 1:2781 CRYSTAL WOODS DR
Mailing Address - Street 2:
Mailing Address - City:FINKSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:21048-3000
Mailing Address - Country:US
Mailing Address - Phone:410-259-7939
Mailing Address - Fax:
Practice Address - Street 1:2781 CRYSTAL WOODS DR
Practice Address - Street 2:
Practice Address - City:FINKSBURG
Practice Address - State:MD
Practice Address - Zip Code:21048-3000
Practice Address - Country:US
Practice Address - Phone:410-259-7939
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD429014207RH0003X
MDD64597207RX0202X
UT14149242-1235207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD410335100Medicaid
MD410335101Medicaid
PA1016977890001Medicaid
MD222329YZBWMedicare PIN
I54673Medicare UPIN
PA101930FLTMedicare PIN
PAP01418536Medicare PIN
MD410335101Medicaid