Organization
OLEG B. SHPAK, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLEG B. SHPAK MD (OWNER)
(301) 577-5511
Entity
Organization
Contact information
Practice address
121 CONGRESSIONAL LN, SUITE 312, ROCKVILLE, MD 20852-1542
(301) 770-6126
(301) 881-0844
Mailing address
9470 ANNAPOLIS RD, LANHAM, MD 20706-3025
(301) 577-5511
(301) 577-1177
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
D0034860
MD
Other
Enumeration date
04/24/2007
Last updated
06/05/2008
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