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Individual

DR. KIDEST ASSEGUED

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2101 E JEFFERSON ST, ROCKVILLE, MD 20852-4908
(202) 898-5104
(202) 898-5474
Mailing address
2101 EAST JEFFERSON STREET, PPQA MEDICARE COMPLIANCE UNIT 6 WEST, ROCKVILLE, MD 20852-4908
(301) 816-6660
(301) 816-6308

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A73918
CA
207R00000X
Internal Medicine Physician
D0059647
MD
207R00000X
Internal Medicine Physician
Primary
MD34009
DC

Other

Enumeration date
12/01/2006
Last updated
06/23/2021
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