Dr Panayiota V Koroulakis, MD | |
10810 Connecticut Avenue, Kensington, MD 20895 | |
(301) 929-7100 | |
(301) 929-7207 |
Full Name | Dr Panayiota V Koroulakis |
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Gender | Female |
Speciality | Pediatrics |
Location | 10810 Connecticut Avenue, Kensington, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1639223514 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 0101231614 (Virginia) | Secondary |
208000000X | Pediatrics | MD31843 (District Of Columbia) | Secondary |
208000000X | Pediatrics | D57738 (Maryland) | Primary |
Entity Name | Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952461816 PECOS PAC ID: 3779495858 Enrollment ID: O20040105000308 |
Mailing Address | Practice Location Address |
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Dr Panayiota V Koroulakis, MD 2101 East Jefferson Street, Kaiser Permanente, Ppqa, 6 West, Rockville, MD 20852 Ph: (301) 816-6660 | Dr Panayiota V Koroulakis, MD 10810 Connecticut Avenue, Kensington, MD 20895 Ph: (301) 929-7100 |
Dr. Kozue Leone, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10810 Connecticut Avenue, Kensington, MD 20895 Phone: 301-929-7100 Fax: 301-929-7114 | |
Dr. William Harold Neches, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5229 Strathmore Ave, Kensington, MD 20895 Phone: 240-475-4077 Fax: 240-303-2512 | |
Bhavna Bali, MD. Pediatrics Medicare: Medicare Enrolled Practice Location: 10810 Connecticut Ave, Kensington, MD 20895 Phone: 301-821-7500 Fax: 661-250-5290 | |
Dr. Kawaljeet K Chawla, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 10810 Connecticut Avenue, Kensington, MD 20895 Phone: 301-929-7507 Fax: 301-929-7114 | |
Elizabeth Anne Valois, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 10810 Connecticut Ave, Kaiser Permanente Kensington Medical Center, Kensington, MD 20895 Phone: 301-929-3630 | |
Dr. Laura V Rusch, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 10810 Connecticut Ave, Kensington, MD 20895 Phone: 301-929-7100 Fax: 301-929-7027 | |
Dr. Carolyn L Avery, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10810 Connecticut Avenue, Kensington, MD 20895 Phone: 301-929-7100 Fax: 301-929-7114 |