Individual provider · Type 1 NPI

Michael Allen Petrelli, DO

Student in an Organized Health Care Education/Training Program · Bethesda, MD

NPI number 1184264780 Active

Practice location

4301 Jones Bridge Rd
Bethesda, MD 20814-4712

Call (301) 295-3718 Map

Mailing address

1 Dispensary Road
Point Mugu Nawc, CA 93042-5017

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician 208D00000X009132 (AZ)
Occupational Medicine Physician 2083X0100X22738 (CA)
General Practice Physician 208D00000X22738 (CA)
Aerospace Medicine Physician 2083A0100X22738 (CA)
Student in an Organized Health Care Education/Training Program Primary 390200000X22738 (CA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1184264780

Michael Allen Petrelli, DO's National Provider Identifier is 1184264780, issued on Jan 10, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bethesda, MD. The record was last updated on Jul 27, 2026.