Individual
DR. CARLOS EUGENIO COVARRUBIAS PONCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8121 GEORGIA AVE, SUITE 405, SILVER SPRING, MD 20910-4933
(301) 589-9480
(301) 589-3872
Mailing address
8121 GEORGIA AVE, SUITE 405, SILVER SPRING, MD 20910-4933
(301) 589-9480
(301) 589-3872
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0048290
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
921346500
—
MD
01
—
D0048290
MEDICAL LICENSE
MD
Enumeration date
08/24/2005
Last updated
03/26/2008
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