Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. REGINALD M WALLEN, M.D.
ActiveDR. REGINALD M WALLEN, M.D. is a Family Medicine healthcare provider located in TEMPLE HILLS, Maryland. NPI 1225194210 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · TEMPLE HILLS, MD
Registration Details
- NPI Number
- 1225194210
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 28, 2006 (19.618158791991 yrs)
- Last Updated
- Jul 8, 2007
- Licenses
-
D35317 (MD)0101044800 (VA)MD16350 (DC)
Practice Information
- Address
-
6104 OLD BRANCH AVENUEKAISER PERMANENTE, PPQA, 6 WEST, ATTN THERESA BROOKSTEMPLE HILLS, MD, 207482518Browse MD providers · Browse ZIP 20748
- Phone
- 3017026100
- Fax
- 3017026367
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in TEMPLE HILLS, MD
| Name | Credential | NPI |
|---|---|---|
| DR. WENDY ANN J HUTCHESON | MD | 1326111667 |
| DR. SHARADA JAIN | MD | 1306919519 |
| DR. HIEN TRINH NGUYEN | MD | 1760550172 |
| DR. SUCHITRA M BALAKRISHNAN | MD | 1396805859 |
| DR. ANTHONY D SHEPHERD | MD | 1629135553 |
| DR. EUNICE SHAKIR | M.D. | 1760529028 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.