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SOUTHERN MARYLAND PULMONARY & CRITICAL CARE P.A. NPI 1982782686


NPI Information

NPI: 1982782686
Provider Name: SOUTHERN MARYLAND PULMONARY & CRITICAL CARE, P.A.

Doing Business As: SO. MD. PULMONARY & CRITICAL CARE

Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
3575 OLD WASHINGTON RD
SUITE C
WALDORF, MD
ZIP 20602
Phone: (301) 645-3420
Get Directions

SOUTHERN MARYLAND PULMONARY & CRITICAL CARE, P.A. is a pulmonary disease internal medicine in Waldorf, MD. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. SOUTHERN MARYLAND PULMONARY & CRITICAL CARE, P.A. NPI is 1982782686. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As So. Md. Pulmonary & Critical Care.

The provider's business location address is:

3575 OLD WASHINGTON RD
SUITE C
WALDORF, MD
ZIP 20602-269
Phone: (301) 645-3420
Fax: (301) 645-3423

The provider's authorized official is Song C Chon .
The authorized official title is Owner/partner and has the following contact phone number (301) 645-3420.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 1/18/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RP1001XInternal MedicinePulmonary DiseaseD4760773MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C88088MEDICARE UPINMARYLAND
2H32239MEDICARE UPINMARYLAND
3E39435MEDICARE UPINMARYLAND
4CH4678OTHERMARYLANDRAILROAD MEDICARE
5741232100MEDICAIDMARYLAND
6549LMEDICARE PINMARYLAND
7G02636MEDICARE PINDISTRICT OF COLUMBIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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