| Leonard Stuart Bloom, MD | |
|
9420 Key West Ave., Suite 420, Rockville, MD 20850 | |
| (301) 258-1919 | |
| (301) 258-9180 |
| Full Name | Leonard Stuart Bloom |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 9420 Key West Ave., Rockville, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114030301 | NPI | - | NPPES |
| 063461100 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | D0039918 (Maryland) | Secondary |
| 208800000X | Urology | D39918 (Maryland) | Primary |
| Entity Name | Chesapeake Urology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700153921 PECOS PAC ID: 4789673393 Enrollment ID: O20111216000464 |
| Mailing Address | Practice Location Address |
|---|---|
| Leonard Stuart Bloom, MD 25 Crossroads Drive, Suite 306, Owings Mills, MD 21117 Ph: (443) 738-2872 | Leonard Stuart Bloom, MD 9420 Key West Ave., Suite 420, Rockville, MD 20850 Ph: (301) 258-1919 |
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 | |
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 |