Ursula D. Poydras, Md, Llc | |
9821 Greenbelt Rd Suite 206 Lanham MD 20706-2265 | |
(301) 552-5862 | |
(301) 552-5864 |
Full Name | Ursula D. Poydras, Md, Llc |
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Speciality | Clinic/Center |
Location | 9821 Greenbelt Rd, Lanham, Maryland |
Authorized Official Name and Position | Ursula Denise Poydras (PHYSICIAN AND SURGEON) |
Authorized Official Contact | 3015525862 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ursula D. Poydras, Md, Llc 9821 Greenbelt Rd Suite 206 Lanham MD 20706-2265 Ph: (301) 552-5862 | Ursula D. Poydras, Md, Llc 9821 Greenbelt Rd Suite 206 Lanham MD 20706-2265 Ph: (301) 552-5862 |
NPI Number | 1043469141 |
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Provider Enumeration Date | 09/12/2008 |
Last Update Date | 09/12/2008 |
Medicare PECOS PAC ID | 4284702200 |
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Medicare Enrollment ID | O20081003000624 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043469141 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | D0042448 (Maryland) | Primary |
Provider Name | Ursula Poydras |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1316030281 PECOS PAC ID: 8224105556 Enrollment ID: I20080929000087 |
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