Atiya H Gopalani, MD | |
18111 Prince Philip Dr, Ste 126, Olney, MD 20832-1513 | |
(301) 570-4866 | |
(301) 570-0236 |
Full Name | Atiya H Gopalani |
---|---|
Gender | Female |
Speciality | Obstetrics & Gynecology - Gynecology |
Location | 18111 Prince Philip Dr, Olney, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407894124 | NPI | - | NPPES |
3782401608 | Other | MD | BC MD |
40850001 | Other | DC | BC DC/METRO |
296531301 | Medicaid | MD | |
833373 | Other | MD | UHC GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207VG0400X | Obstetrics & Gynecology - Gynecology | D36981 (Maryland) | Primary |
Entity Name | Privia Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20050422000298 |
Mailing Address | Practice Location Address |
---|---|
Atiya H Gopalani, MD 18111 Prince Philip Dr, Ste 126, Olney, MD 20832-1513 Ph: (301) 570-4866 | Atiya H Gopalani, MD 18111 Prince Philip Dr, Ste 126, Olney, MD 20832-1513 Ph: (301) 570-4866 |
Amanda Rauda Tellawi, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 18101 Prince Philip Dr, Olney, MD 20832 Phone: 301-570-7424 | |
Michael Goodman, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 18111 Prince Philip Dr, Ste 323, Olney, MD 20832 Phone: 301-774-2600 Fax: 301-774-2823 | |
Carol K Emerson, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2712 Covered Wagon Way, Olney, MD 20832 Phone: 240-506-7788 | |
Dr. Susanne T Woodlan, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 18111 Prince Philip Dr, Ste 111, Olney, MD 20832 Phone: 301-774-6500 Fax: 301-774-5461 | |
Charles Tuegel, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 18111 Prince Philip Dr, Ste 323, Olney, MD 20832 Phone: 301-774-2600 Fax: 301-771-2823 | |
Amy Blunt, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 18101 Prince Philip Dr Ste 5100, Olney, MD 20832 Phone: 301-570-7424 Fax: 301-570-7425 |