| Julio G Davalos, MD | |
|
806 Landmark Dr, Suite 118, Glen Burnie, MD 21061-4980 | |
| (410) 780-9400 | |
| (410) 787-1911 |
| Full Name | Julio G Davalos |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 25 Years |
| Location | 806 Landmark Dr, Glen Burnie, Maryland |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548343064 | NPI | - | NPPES |
| 043860000 | Medicaid | MD | |
| E279/0107 | Other | MD | BLUE CHOICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | D72502 (Maryland) | Primary |
| 208800000X | Urology | 21678 (West Virginia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Md Baltimore Washington Medical Center | Glen burnie, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Chesapeake Urology Associates Llc | 4789673393 | 142 |
| Chesapeake Urology Associates Llc | 4789673393 | 142 |
| Entity Name | Chesapeake Urology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992520795 PECOS PAC ID: 4789673393 Enrollment ID: O20040510000449 |
| Mailing Address | Practice Location Address |
|---|---|
| Julio G Davalos, MD 25 Crossroads Dr, Suite 306, Owings Mills, MD 21117-5421 Ph: (410) 760-9400 | Julio G Davalos, MD 806 Landmark Dr, Suite 118, Glen Burnie, MD 21061-4980 Ph: (410) 780-9400 |
Louis A. Shpritz, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 806 Landmark Dr, Suite 118, Glen Burnie, MD 21061 Phone: 410-670-9400 Fax: 410-787-1911 | |
Kaiser J. Robertson Iii, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 806 Landmark Dr, Suite 118, Glen Burnie, MD 21061 Phone: 410-760-9400 Fax: 410-787-1911 | |
Nikhil Sheth, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 806 Landmark Dr, Suite 118, Glen Burnie, MD 21061 Phone: 410-760-9400 Fax: 410-787-1911 |