| Maryland Skin Care Centers Llc | |
|
216 E Pulaski Hwy 125 Elkton MD 21921-6497 | |
| (443) 485-6614 | |
| (410) 286-1700 |
| Full Name | Maryland Skin Care Centers Llc |
|---|---|
| Speciality | Dermatology |
| Location | 216 E Pulaski Hwy, Elkton, Maryland |
| Authorized Official Name and Position | Jagadeesh S V Kumar (SOLE MEMBER) |
| Authorized Official Contact | 6029300509 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maryland Skin Care Centers Llc 216 E Pulaski Hwy 125 Elkton MD 21921-6497 Ph: (443) 485-6614 | Maryland Skin Care Centers Llc 216 E Pulaski Hwy 125 Elkton MD 21921-6497 Ph: (443) 485-6614 |
| NPI Number | 1457642068 |
|---|---|
| Provider Enumeration Date | 04/29/2011 |
| Last Update Date | 09/18/2024 |
| Medicare PECOS PAC ID | 5496924136 |
|---|---|
| Medicare Enrollment ID | O20110815000042 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457642068 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D0067588 (Maryland) | Secondary |
| 207N00000X | Dermatology | D0067588 (Maryland) | Primary |
| Provider Name | Jagadeesh Sv Kumar |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1467486977 PECOS PAC ID: 3678551843 Enrollment ID: I20080912000116 |
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