Dr Kudiratu Aranmolate Clark, MD | |
2730 University Boulevard, Suite 104, Wheaton, MD 20902-1979 | |
(301) 942-8799 | |
(301) 933-8554 |
Full Name | Dr Kudiratu Aranmolate Clark |
---|---|
Gender | Female |
Speciality | Anesthesiology |
Experience | 18 Years |
Location | 2730 University Boulevard, Wheaton, Maryland |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457495830 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | D0070652 (Maryland) | Secondary |
207L00000X | Anesthesiology | 69565 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Piedmont Hospital | Atlanta, GA | Hospital |
Piedmont Fayette Hospital | Fayetteville, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Piedmont Anesthesia Associates Llc | 3577457183 | 257 |
Entity Name | Piedmont Anesthesia Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407856594 PECOS PAC ID: 3577457183 Enrollment ID: O20040212000604 |
Entity Name | Mak Anesthesia Holdings, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912452939 PECOS PAC ID: 4284917204 Enrollment ID: O20170216001563 |
Entity Name | Mak Anesthesia Northside Affiliates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609390103 PECOS PAC ID: 7315203718 Enrollment ID: O20171116002499 |
Mailing Address | Practice Location Address |
---|---|
Dr Kudiratu Aranmolate Clark, MD 2730 University Boulevard, Suite 104, Wheaton, MD 20902-1979 Ph: (301) 942-8799 | Dr Kudiratu Aranmolate Clark, MD 2730 University Boulevard, Suite 104, Wheaton, MD 20902-1979 Ph: (301) 942-8799 |
Dr. Rammy Ihsan Alam, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2730 University Blvd, Suite 104, Wheaton, MD 20902 Phone: 301-942-8799 Fax: 301-933-8554 | |
Mrs. Gabrielle Sara Brown, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2730 University Blvd W Ste 104, Wheaton, MD 20902 Phone: 301-942-8799 | |
Hector Nicodemus, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2730 University Blvd W, Ste 104, Wheaton, MD 20902 Phone: 301-942-8799 | |
Donna Johnson-harvey, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 2730 University Blvd W, Ste 104, Wheaton, MD 20902 Phone: 301-942-8799 | |
William Keefe, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2730 University Blvd W, Ste 104, Wheaton, MD 20902 Phone: 301-942-8799 | |
Dr. Ki Nyoung Lee, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 3947 Ferrara Drive, Wheaton, MD 20906 Phone: 301-942-9004 Fax: 301-942-9004 | |
Aline D Nguyen, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2730 University Blvd, Suite 104, Wheaton, MD 20902 Phone: 301-942-8799 Fax: 301-933-8554 |