Provider Demographics
NPI:1912990508
Name:EPPS, ROSELYN E (MD)
Entity type:Individual
Prefix:DR
First Name:ROSELYN
Middle Name:E
Last Name:EPPS
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 1:8630 FENTON STREET
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-3806
Mailing Address - Country:US
Mailing Address - Phone:301-495-9696
Mailing Address - Fax:301-495-9343
Practice Address - Street 1:8630 FENTON STREET
Practice Address - Street 2:SUITE 300
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-3806
Practice Address - Country:US
Practice Address - Phone:301-495-9696
Practice Address - Fax:301-495-9343
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-30
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0046487174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
F45292Medicare UPIN
550747D74Medicare PIN