Provider Demographics
NPI:1316929938
Name:O'BRIEN, RICHARD ARTHUR (MD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:ARTHUR
Last Name:O'BRIEN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:10420 LITTLE PATUXENT PKWY
Mailing Address - Street 2:SUITE 250
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-3533
Mailing Address - Country:US
Mailing Address - Phone:410-740-5186
Mailing Address - Fax:410-741-2371
Practice Address - Street 1:10420 LITTLE PATUXENT PKWY
Practice Address - Street 2:SUITE 250
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-3533
Practice Address - Country:US
Practice Address - Phone:410-740-5186
Practice Address - Fax:410-741-2371
Is Sole Proprietor?:No
Enumeration Date:2005-11-18
Last Update Date:2008-09-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD00541572084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD003517300Medicaid
MDD54157Medicare UPIN
MD003517300Medicaid
MDS703Medicare PIN