Dr Tyler Holliday, MD | |
901 Harry S Truman Dr N, Largo, MD 20774-5477 | |
(240) 667-2025 | |
Not Available |
Full Name | Dr Tyler Holliday |
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Gender | Male |
Speciality | Surgery - Trauma Surgery |
Location | 901 Harry S Truman Dr N, Largo, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699207654 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0127X | Surgery - Trauma Surgery | D0097603 (Maryland) | Primary |
Entity Name | Shock Trauma Associates Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679512909 PECOS PAC ID: 6800882317 Enrollment ID: O20040421000976 |
Mailing Address | Practice Location Address |
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Dr Tyler Holliday, MD 901 Harry S Truman Dr N, Largo, MD 20774-5477 Ph: (240) 677-2025 | Dr Tyler Holliday, MD 901 Harry S Truman Dr N, Largo, MD 20774-5477 Ph: (240) 667-2025 |
Matthew Adam Gilbert Schechter, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 901 Harry S Truman Dr N, Largo, MD 20774 Phone: 240-677-1000 | |
Dr. Benjamin Daniel Powers, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 901 Harry Truman Dr N, Largo, MD 20774 Phone: 667-214-1718 Fax: 410-706-6976 | |
Dr. Nini Khozeimeh, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1221 Mercantile Ln, Kaiser Permanente Largo Medical Center, Largo, MD 20774 Phone: 301-618-5500 | |
Dr. Donna M Pittman, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1221 Mercantile Lane, Largo, MD 20774 Phone: 301-618-5638 Fax: 301-618-5673 |