Organization
PERFCORP MEDICAL GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEX KURIKESHU M.D (PRESIDENT)
(301) 931-1222
Entity
Organization
Contact information
Practice address
11890 OLD BALTIMORE PIKE, UNIT C, BELTSVILLE, MD 20705-1263
(301) 931-1222
Mailing address
11890 OLD BALTIMORE PIKE, UNIT T, BELTSVILLE, MD 20705-1263
(301) 931-1222
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
D07807647
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D07807647
MD STATE ID
MD
Enumeration date
08/01/2010
Last updated
10/19/2011
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