Whalio Doctors

NPI 1043717424

Jonathan de Shields, MD

Practitioner Internal Medicine Physician Kensington, MD

Practice location

Address
10810 Connecticut Ave, Kensington, MD 20895-2138
Phone
(301) 297-1003
Mailing address
7651 Woodland Dr, Easton, MD 21601-8141

Registered specialties (2)

Internal Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence D0092482 (MD)
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X

Registry record

NPI
1043717424
Entity type
Individual
Sex (as registered)
Male
NPI issued
11 Apr 2018
Record last updated
19 Dec 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.