| Kasandra Rae Dassoulas, | |
|
10810 Connecticut Ave, Kensington, MD 20895-2138 | |
| (434) 326-7386 | |
| Not Available |
| Full Name | Kasandra Rae Dassoulas |
|---|---|
| Gender | Female |
| Speciality | Plastic Surgery |
| Location | 10810 Connecticut Ave, Kensington, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063702223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | D83761 (Maryland) | Primary |
| Entity Name | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043378656 PECOS PAC ID: 3779495858 Enrollment ID: O20080519000558 |
| Entity Name | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1942546486 PECOS PAC ID: 3779495858 Enrollment ID: O20141111002041 |
| Entity Name | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1457023616 PECOS PAC ID: 3779495858 Enrollment ID: O20220105001262 |
| Mailing Address | Practice Location Address |
|---|---|
| Kasandra Rae Dassoulas, 10810 Connecticut Ave, Kensington, MD 20895-2138 Ph: (301) 929-7100 | Kasandra Rae Dassoulas, 10810 Connecticut Ave, Kensington, MD 20895-2138 Ph: (434) 326-7386 |
Dr. Philip Iorianni, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 10810 Connecticut Ave, Kensington, MD 20895 Phone: 301-929-7167 |