Oleg B. Shpak, Md, Pa | |
121 Congressional Ln Suite 312 Rockville MD 20852-1542 | |
(301) 770-6126 | |
(301) 881-0844 |
Full Name | Oleg B. Shpak, Md, Pa |
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Speciality | Clinic/center |
Location | 121 Congressional Ln, Rockville, Maryland |
Authorized Official Name and Position | Oleg B. Shpak (OWNER) |
Authorized Official Contact | 3015775511 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Oleg B. Shpak, Md, Pa 9470 Annapolis Rd Lanham MD 20706-3025 Ph: (301) 577-5511 | Oleg B. Shpak, Md, Pa 121 Congressional Ln Suite 312 Rockville MD 20852-1542 Ph: (301) 770-6126 |
NPI Number | 1689893109 |
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Provider Enumeration Date | 04/24/2007 |
Last Update Date | 06/05/2008 |
Identifier | Type | State | Issuer |
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1689893109 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | D0034860 (Maryland) | Primary |
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