| Plotsky Medical Associates Pc | |
|
15225 Shady Grove Road Suite 102 Rockville MD 20850 | |
| (301) 330-0661 | |
| (301) 977-6940 |
| Full Name | Plotsky Medical Associates Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 15225 Shady Grove Road, Rockville, Maryland |
| Authorized Official Name and Position | Jonathan S Plotsky (OWNER PRESIDENT) |
| Authorized Official Contact | 3013300661 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Plotsky Medical Associates Pc 15225 Shady Grove Road Suite 102 Rockville MD 20850 Ph: (301) 330-0661 | Plotsky Medical Associates Pc 15225 Shady Grove Road Suite 102 Rockville MD 20850 Ph: (301) 330-0661 |
| NPI Number | 1356403679 |
|---|---|
| Provider Enumeration Date | 12/14/2006 |
| Last Update Date | 01/10/2008 |
| Medicare PECOS PAC ID | 0840375069 |
|---|---|
| Medicare Enrollment ID | O20080312000579 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356403679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jin Moon Kang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083651194 PECOS PAC ID: 8921047036 Enrollment ID: I20060509000726 |
| Provider Name | Sujoy G Tagore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972796084 PECOS PAC ID: 8628164357 Enrollment ID: I20071011000131 |
| Provider Name | Jonathan S Plotsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487642872 PECOS PAC ID: 2567547789 Enrollment ID: I20080502000534 |
| Provider Name | Ezhili Arumani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649250465 PECOS PAC ID: 4082010921 Enrollment ID: I20210901001918 |
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