| Medical And Aesthetic Dermatology | |
|
9256 Bendix Rd Ste 200a Columbia MD 21045-1848 | |
| (302) 593-5829 | |
| Not Available |
| Full Name | Medical And Aesthetic Dermatology |
|---|---|
| Speciality | Clinic/Center |
| Location | 9256 Bendix Rd Ste 200a, Columbia, Maryland |
| Authorized Official Name and Position | Cheryl Bansal (OWNER) |
| Authorized Official Contact | 3025935829 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical And Aesthetic Dermatology 9256 Bendix Rd Ste 200a Columbia MD 21045-1848 Ph: () - | Medical And Aesthetic Dermatology 9256 Bendix Rd Ste 200a Columbia MD 21045-1848 Ph: (302) 593-5829 |
| NPI Number | 1720364227 |
|---|---|
| Provider Enumeration Date | 10/27/2011 |
| Last Update Date | 06/29/2023 |
| Medicare PECOS PAC ID | 7810160058 |
|---|---|
| Medicare Enrollment ID | O20111102000847 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720364227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | D72260 (Maryland) | Primary |
| Provider Name | Monte S Meltzer |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1861418840 PECOS PAC ID: 2860550878 Enrollment ID: I20081021000084 |
| Provider Name | Cheryl Dewan Bansal |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1174790851 PECOS PAC ID: 7315110566 Enrollment ID: I20111103000111 |
| Provider Name | Dathao Huynh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285268300 PECOS PAC ID: 4082004825 Enrollment ID: I20211209000966 |
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