De La Sole Podiatric Medical Services Llc | |
10507 Observatory Pl, Upper Marlboro, MD 20772-8511 | |
(404) 606-7449 | |
Not Available |
Full Name | De La Sole Podiatric Medical Services Llc |
---|---|
Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 10507 Observatory Pl, Upper Marlboro, Maryland |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386036234 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | 01544 (Maryland) | Primary |
Provider Name | Kiana R Trent |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1760706139 PECOS PAC ID: 6002053949 Enrollment ID: I20140320001300 |
Mailing Address | Practice Location Address |
---|---|
De La Sole Podiatric Medical Services Llc 10507 Observatory Pl, Upper Marlboro, MD 20772-8511 Ph: (404) 606-7449 | De La Sole Podiatric Medical Services Llc 10507 Observatory Pl, Upper Marlboro, MD 20772-8511 Ph: (404) 606-7449 |
Dr. Khaled Attia Madi, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1221 Mercantile Ln, Upper Marlboro, MD 20774 Phone: 301-618-5500 | |
Dr. Ademuyiwa Adekola Adetunji, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1450 Mercantile Ln, Ste 151, Upper Marlboro, MD 20774 Phone: 301-386-5453 Fax: 301-386-5396 | |
Ade Adetunji Podiatrist Medicare: Medicare Enrolled Practice Location: 1450 Mercantile Ln Ste 151, Upper Marlboro, MD 20774 Phone: 301-386-5453 Fax: 301-386-5396 |