Individual
DR. MARY FREKKO KILAVOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
818 WEST DIAMOND AVENUE, STE 130, GAITHERSBURG, MD 20878
(301) 948-8780
(301) 519-9093
Mailing address
818 WEST DIAMOND AVENUE, STE 130, GAITHERSBURG, MD 20878
(301) 948-8780
(301) 519-9093
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0062800
MD
207R00000X
Internal Medicine Physician
MD046987
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
492066
MEDICARE
MD
Enumeration date
02/20/2006
Last updated
04/21/2025
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