Individual
MRS. URSULA DENISE POYDRAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9821 GREENBELT RD, SUITE 206, LANHAM, MD 20706-2269
(301) 552-5862
(301) 552-5864
Mailing address
9821 GREENBELT RD, SUITE 206, LANHAM, MD 20706-2265
(301) 552-5862
(301) 552-5864
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D42448
MD
207R00000X
Internal Medicine Physician
00D42448
MD
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
00D42448
MD
208000000X
Pediatrics Physician
D42448
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
562627117
TAX ID
MD
05
—
757841500
—
MD
Enumeration date
10/02/2006
Last updated
10/16/2024
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