Amita De Souza, MD | |
11125 Rockville Pike Ste 307, Rockville, MD 20852-3142 | |
(301) 468-6171 | |
(301) 468-6172 |
Full Name | Amita De Souza |
---|---|
Gender | Female |
Speciality | Pediatric Medicine |
Experience | 13 Years |
Location | 11125 Rockville Pike Ste 307, Rockville, Maryland |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912296492 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0205X | Pediatrics - Pediatric Endocrinology | D77575 (Maryland) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Privia Medical Group Llc | 4385682061 | 1176 |
Entity Name | Privia Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20050422000298 |
Mailing Address | Practice Location Address |
---|---|
Amita De Souza, MD 11125 Rockville Pike Ste 307, Rockville, MD 20852-3142 Ph: (301) 468-6171 | Amita De Souza, MD 11125 Rockville Pike Ste 307, Rockville, MD 20852-3142 Ph: (301) 468-6171 |
Stacy B Stryer, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2401 Research Blvd, Suite 370, Rockville, MD 20850 Phone: 301-990-1664 Fax: 301-990-0471 | |
Dr. Faith E. Frankel, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1684 E Gude Dr, Rockville, MD 20850 Phone: 301-217-9222 | |
Avril M Houston, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5600 Fishers Lane, Rockville, MD 20857 Phone: 301-443-0842 | |
Mesfin Woldesenbet, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9901 Medical Center Dr, Rockville, MD 20850 Phone: 240-826-7392 Fax: 240-826-5388 | |
Dr. Aglae Economides, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6000 Executive Blvd, Suite 625, Rockville, MD 20852 Phone: 240-314-7080 | |
Dr. Stanley J Kramer, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2101 East Jefferson Street, Rockville, MD 20852 Phone: 301-816-6425 Fax: 301-816-7115 | |
Paul Sergio Porras, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2301 Research Blvd, Suite 115, Rockville, MD 20850 Phone: 301-990-1664 Fax: 301-990-0471 |