Individual
MUKESH JALOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17300 AVENLEIGH DR, ASHTON, MD 20861-3633
(301) 570-5447
(301) 260-1304
Mailing address
17300 AVENLEIGH DR, ASHTON, MD 20861-3633
(301) 570-5447
(301) 260-1304
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
D0023231
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010419115
—
VA
05
—
1679512099
—
VA
01
—
20047164
AMERIHEALTH MERCY HEALTH
MD
05
—
210581100
—
MD
05
—
5909502
—
NC
01
—
60050001
DC BLUE CROSS
MD
01
—
60059303
BLUE CROSS
MD
05
—
7100149070
—
KY
01
—
P00382580
RAILROAD MCR
—
Enumeration date
06/05/2006
Last updated
03/18/2011
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