Dr Mark Alan Immergut, MD | |
6000 Executive Blvd, Suite 300, Rockville, MD 20852-3803 | |
(301) 468-8999 | |
Not Available |
Full Name | Dr Mark Alan Immergut |
---|---|
Gender | Male |
Speciality | Urology |
Location | 6000 Executive Blvd, Rockville, Maryland |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770540056 | NPI | - | NPPES |
312564 | Other | MD | OPTIMUM CHOICE PROVIDER # |
V746 0014 | Other | DC | BSDC |
0715414 | Other | MD | CIGNA PROVIDER NUMBER |
521186611 | Other | MD | UNITED HEALTHCARE PROV # |
V746 0014 | Other | MD | BSMD |
312564 | Other | MD | MDIPA PROVIDER NUMBER |
312564 | Other | MD | MAMSI PROVIDER NUMBER |
312564 | Other | MD | ALLIANCE PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | D0008736 (Maryland) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Mark Alan Immergut, MD 6000 Executive Blvd, Suite 300, Rockville, MD 20852-3803 Ph: (301) 468-8999 | Dr Mark Alan Immergut, MD 6000 Executive Blvd, Suite 300, Rockville, MD 20852-3803 Ph: (301) 468-8999 |
Roberto Pedraza, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 9420 Key West Ave., #420, Rockville, MD 20850 Phone: 301-258-1919 Fax: 301-258-9180 | |
Gary Friedlander, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 9420 Key West Ave., #420, Rockville, MD 20850 Phone: 301-258-1919 Fax: 301-258-9180 | |
Leonard Stuart Bloom, MD Urology Medicare: Medicare Enrolled Practice Location: 9420 Key West Ave., Suite 420, Rockville, MD 20850 Phone: 301-258-1919 Fax: 301-258-9180 | |
Michael Andrew Isaacson, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 9420 Key West Ave, Suite 420, Rockville, MD 20850 Phone: 301-258-1919 Fax: 301-258-9180 | |
Edward C Gilbert, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 15225 Shady Grove Rd, #307, Rockville, MD 20850 Phone: 301-258-1919 Fax: 301-258-9180 | |
Mark H Ratner, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 9420 Key West Ave, Suite 420, Rockville, MD 20850 Phone: 301-258-1919 Fax: 301-258-9180 | |
Ellen Rachel Goldmark, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 9420 Key West Ave., Suite 420, Rockville, MD 20850 Phone: 301-258-1919 Fax: 301-258-9180 |