Dr Maiya Yetunde Elon Clark, MD | |
344 University Blvd W, Suite 325, Silver Spring, MD 20901-1948 | |
(301) 593-5440 | |
(301) 593-5501 |
Full Name | Dr Maiya Yetunde Elon Clark |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 344 University Blvd W, Silver Spring, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295760908 | NPI | - | NPPES |
406773800 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | D0061964 (Maryland) | Primary |
Entity Name | Privia Medical Group Llc |
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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 |
---|---|
Dr Maiya Yetunde Elon Clark, MD 1507 Kearney St Ne, Washington, DC 20017-2959 Ph: (202) 832-8152 | Dr Maiya Yetunde Elon Clark, MD 344 University Blvd W, Suite 325, Silver Spring, MD 20901-1948 Ph: (301) 593-5440 |
Dr. Erica Rupar, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10301 Georgia Ave, #106, Silver Spring, MD 20902 Phone: 301-681-6000 | |
Dr. Robin Madden, M.D., PH.D, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10313 Georgia Ave, Suite 303, Silver Spring, MD 20902 Phone: 301-681-7020 Fax: 301-681-0147 | |
Dr. Najla Nouri Falaki, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2015 Mayflower Dr, Silver Spring, MD 20905 Phone: 301-384-0019 | |
Dr. Laila A. Mahmood, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 15613 Holly Grove Rd, Silver Spring, MD 20905 Phone: 301-384-3579 | |
Dr. Cyd Patrice Campbell, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 102 Southwood Ave, Silver Spring, MD 20901 Phone: 301-213-3679 | |
Dr. Lisa S Thompson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1500 Forest Glen Rd, Silver Spring, MD 20910 Phone: 301-905-3600 | |
Liza S Burns, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10301 Georgia Ave, Suite 106, Silver Spring, MD 20902 Phone: 301-681-6000 Fax: 301-681-3153 |