Individual provider · NPI-1
Crystal Tamara Arrendell, MD
Family Medicine · Hyattsville, MD
NPI number1104442078
StatusActive
Last updated in NPPESJun 17, 2025
Details
- NPI
- 1104442078
- Entity type
- Individual (NPI-1)
- Name
- Crystal Tamara Arrendell
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 17, 2020
- Certification date
- May 29, 2025
- Last updated
- Jun 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | D0102062 | MD | Yes |
Other names
- Crystal Tamara Douglas (Former Name)
Practice location
831 Brightseat RoadHyattsville, MD 20785
Phone 301-673-3335
Mailing address
831 Brightseat RoadHyattsville, MD 20785
Phone 301-673-3335
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