| Endocrine And Diabetes Associates, Llc | |
|
8722 Hickory Bend Trail Potomac MD 20854-2557 | |
| (301) 983-3734 | |
| (301) 983-0653 |
| Full Name | Endocrine And Diabetes Associates, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8722 Hickory Bend Trail, Potomac, Maryland |
| Authorized Official Name and Position | Patricia Anne Petrick (ADMINISTRATOR) |
| Authorized Official Contact | 3019833734 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Endocrine And Diabetes Associates, Llc 8722 Hickory Bend Trail Potomac MD 20854-2557 Ph: (301) 983-3734 | Endocrine And Diabetes Associates, Llc 8722 Hickory Bend Trail Potomac MD 20854-2557 Ph: (301) 983-3734 |
| NPI Number | 1730184599 |
|---|---|
| Provider Enumeration Date | 06/17/2005 |
| Last Update Date | 04/08/2025 |
| Medicare PECOS PAC ID | 9830173988 |
|---|---|
| Medicare Enrollment ID | O20040616000210 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730184599 | NPI | - | NPPES |
| 5499011 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | D0031800 (Maryland) | Primary |
| Provider Name | Anurag Gupta |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1104828441 PECOS PAC ID: 3678557725 Enrollment ID: I20040616000190 |
| Provider Name | Amy Rogstad |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1972638187 PECOS PAC ID: 0345393401 Enrollment ID: I20090806000654 |
| Provider Name | Archana Shetty |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1821091240 PECOS PAC ID: 4284769720 Enrollment ID: I20100323000071 |
| Provider Name | Beatriz Chanduvi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1770586109 PECOS PAC ID: 7113059189 Enrollment ID: I20100712000124 |
| Provider Name | Patricia Anne Petrick |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1407859846 PECOS PAC ID: 7911981071 Enrollment ID: I20100824000105 |
| Provider Name | Yemul Quran E Sharin Almecci |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1710184031 PECOS PAC ID: 5395992796 Enrollment ID: I20120820000769 |
| Provider Name | Natasha Kasid |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1366761082 PECOS PAC ID: 5991022964 Enrollment ID: I20220215000057 |
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