| Dr Kudiratu Aranmolate Clark, MD | |
|
2730 University Boulevard, Suite 104, Wheaton, MD 20902-1979 | |
| (301) 942-8799 | |
| (301) 933-8554 |
| Full Name | Dr Kudiratu Aranmolate Clark |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Experience | 19 Years |
| Location | 2730 University Boulevard, Wheaton, 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 |
|---|---|---|---|
| 1457495830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | D0070652 (Maryland) | Secondary |
| 207L00000X | Anesthesiology | 69565 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Piedmont Hospital | Atlanta, GA | Hospital |
| Piedmont Fayette Hospital | Fayetteville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Piedmont Anesthesia Llc | 2163837972 | 365 |
| Piedmont Anesthesia Associates Llc | 3577457183 | 248 |
| Entity Name | Piedmont Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407856594 PECOS PAC ID: 3577457183 Enrollment ID: O20040212000604 |
| Entity Name | Mak Anesthesia Holdings, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912452939 PECOS PAC ID: 4284917204 Enrollment ID: O20170216001563 |
| Entity Name | Piedmont Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700474244 PECOS PAC ID: 2163837972 Enrollment ID: O20210208002823 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kudiratu Aranmolate Clark, MD 2730 University Boulevard, Suite 104, Wheaton, MD 20902-1979 Ph: (301) 942-8799 | Dr Kudiratu Aranmolate Clark, MD 2730 University Boulevard, Suite 104, Wheaton, MD 20902-1979 Ph: (301) 942-8799 |
Dr. Rammy Ihsan Alam, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2730 University Blvd, Suite 104, Wheaton, MD 20902 Phone: 301-942-8799 Fax: 301-933-8554 | |
Mrs. Gabrielle Sara Brown, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2730 University Blvd W Ste 104, Wheaton, MD 20902 Phone: 301-942-8799 | |
Hector Nicodemus, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2730 University Blvd W, Ste 104, Wheaton, MD 20902 Phone: 301-942-8799 | |
William Keefe, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2730 University Blvd W, Ste 104, Wheaton, MD 20902 Phone: 301-942-8799 | |
Dr. Ki Nyoung Lee, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3947 Ferrara Drive, Wheaton, MD 20906 Phone: 301-942-9004 Fax: 301-942-9004 | |
Aline D Nguyen, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2730 University Blvd, Suite 104, Wheaton, MD 20902 Phone: 301-942-8799 Fax: 301-933-8554 | |
Henry Lue, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2730 University Blvd W, Ste 104, Wheaton, MD 20902 Phone: 301-942-8799 |