Organization
IRINA A. SKOPETS, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRINA A SKOPETS MD (OWNER-PHYSICIAN)
(301) 315-0514
Entity
Organization
Contact information
Practice address
16220 FREDERICK RD, SUITE 206, GAITHERSBURG, MD 20877-4039
(410) 303-4840
Mailing address
14321 POTOMAC HEIGHTS LN, ROCKVILLE, MD 20850-3845
(410) 303-4840
(240) 780-9121
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
D0050704
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
70040010000
—
MD
05
—
70040010001
—
MD
Enumeration date
03/03/2011
Last updated
12/19/2018
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