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Organization

PRADEEP SIMLOTE MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PRADEEP SIMLOTE MD (PHYSICIAN/OWNER)
(301) 737-4995
Entity
Organization

Contact information

Practice address
41680 MISS BESSIE DR STE 203, LEONARDTOWN, MD 20650-2964
(301) 737-4995
(301) 475-3323
Mailing address
PO BOX 459, HOLLYWOOD, MD 20636-0459
(301) 737-4995
(301) 737-4996

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
475310100
MD
01
655BP
CAREFIRST
01
K440
CAREFIRST
Enumeration date
07/24/2019
Last updated
07/24/2019
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