Provider Demographics
NPI:1184889214
Name:PANKOPF, ROBERT STEVEN (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:STEVEN
Last Name:PANKOPF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:10401 OLD GEORGETOWN RD
Mailing Address - Street 2:SUITE #300
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-1911
Mailing Address - Country:US
Mailing Address - Phone:301-571-8145
Mailing Address - Fax:301-571-8147
Practice Address - Street 1:10401 OLD GEORGETOWN RD
Practice Address - Street 2:SUITE #300
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-1911
Practice Address - Country:US
Practice Address - Phone:301-571-8145
Practice Address - Fax:301-571-8147
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-29
Last Update Date:2008-07-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD00627772084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry