| Dr Mark Alan Immergut, MD | |
|
6000 Executive Blvd, Suite 300, Rockville, MD 20852-3803 | |
| (301) 468-8999 | |
| Not Available |
| Full Name | Dr Mark Alan Immergut |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 6000 Executive Blvd, Rockville, Maryland |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770540056 | NPI | - | NPPES |
| 312564 | Other | MD | OPTIMUM CHOICE PROVIDER # |
| V746 0014 | Other | DC | BSDC |
| 0715414 | Other | MD | CIGNA PROVIDER NUMBER |
| 521186611 | Other | MD | UNITED HEALTHCARE PROV # |
| V746 0014 | Other | MD | BSMD |
| 312564 | Other | MD | MDIPA PROVIDER NUMBER |
| 312564 | Other | MD | MAMSI PROVIDER NUMBER |
| 312564 | Other | MD | ALLIANCE PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | D0008736 (Maryland) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark Alan Immergut, MD 6000 Executive Blvd, Suite 300, Rockville, MD 20852-3803 Ph: (301) 468-8999 | Dr Mark Alan Immergut, MD 6000 Executive Blvd, Suite 300, Rockville, MD 20852-3803 Ph: (301) 468-8999 |
Roberto Pedraza, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 9420 Key West Ave., #420, Rockville, MD 20850 Phone: 301-258-1919 Fax: 301-258-9180 | |
Gary Friedlander, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 9420 Key West Ave., #420, Rockville, MD 20850 Phone: 301-258-1919 Fax: 301-258-9180 | |
Leonard Stuart Bloom, MD Urology Medicare: Medicare Enrolled Practice Location: 9420 Key West Ave., Suite 420, Rockville, MD 20850 Phone: 301-258-1919 Fax: 301-258-9180 | |
Michael Andrew Isaacson, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 9420 Key West Ave, Suite 420, Rockville, MD 20850 Phone: 301-258-1919 Fax: 301-258-9180 | |
Mark H Ratner, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 9420 Key West Ave, Suite 420, Rockville, MD 20850 Phone: 301-258-1919 Fax: 301-258-9180 | |
Dr. Priyanka Kancherla, MD Urology Medicare: Medicare Enrolled Practice Location: 9420 Key West Ave Ste 420, Rockville, MD 20850 Phone: 301-258-1919 | |
Ellen Rachel Goldmark, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 9420 Key West Ave., Suite 420, Rockville, MD 20850 Phone: 301-258-1919 Fax: 301-258-9180 |