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Individual

DR. BELA SHESTOPALOVA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1105 SPRING ST STE G, SILVER SPRING, MD 20910-4026
(301) 588-1181
(301) 588-0483
Mailing address
12405 GLEN MILL RD, POTOMAC, MD 20854-1908
(301) 717-3355
(202) 318-0745

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101055158
VA
207R00000X
Internal Medicine Physician
Primary
D0051477
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
027001600
MD
Enumeration date
10/20/2006
Last updated
02/07/2012
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