| Agas Medical Group, Llc | |
|
9811 Mallard Dr Suite # 213 Laurel MD 20708-3143 | |
| (301) 604-0562 | |
| (240) 840-9533 |
| Full Name | Agas Medical Group, Llc |
|---|---|
| Speciality | General Practice |
| Location | 9811 Mallard Dr, Laurel, Maryland |
| Authorized Official Name and Position | Kimberly A. Anderson (PHYSICIAN) |
| Authorized Official Contact | 3014837999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Agas Medical Group, Llc 9811 Mallard Dr Suite # 213 Laurel MD 20708-3143 Ph: (301) 604-0562 | Agas Medical Group, Llc 9811 Mallard Dr Suite # 213 Laurel MD 20708-3143 Ph: (301) 604-0562 |
| NPI Number | 1134461940 |
|---|---|
| Provider Enumeration Date | 03/19/2013 |
| Last Update Date | 03/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134461940 | NPI | - | NPPES |
| 010167200 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | D0034747 (Maryland) | Primary |
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