Sevugan Md, Llc | |
14205 Park Center Dr Ste 201 Laurel MD 20707-5252 | |
(240) 554-5112 | |
Not Available |
Full Name | Sevugan Md, Llc |
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Speciality | Clinic/Center |
Location | 14205 Park Center Dr Ste 201, Laurel, Maryland |
Authorized Official Name and Position | Arunachalam Sevugan (PHYSICIAN) |
Authorized Official Contact | 2676640638 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sevugan Md, Llc 11306 Coral Gables Dr North Potomac MD 20878-3803 Ph: (267) 664-0638 | Sevugan Md, Llc 14205 Park Center Dr Ste 201 Laurel MD 20707-5252 Ph: (240) 554-5112 |
NPI Number | 1023613379 |
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Provider Enumeration Date | 12/03/2020 |
Last Update Date | 12/03/2020 |
Medicare PECOS PAC ID | 8527471754 |
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Medicare Enrollment ID | O20210108000159 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023613379 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Arunachalam Sevugan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1629236252 PECOS PAC ID: 8123189966 Enrollment ID: I20081212000373 |
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