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Individual

DR. RONALDO S MAYUGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5100 AUTH WAY, SUITLAND, MD 20746
(301) 702-5000
(301) 702-5116
Mailing address
2101 EAST JEFFERSON STREET, KAISER PERMANENTE, PPQA, 6 WEST, ROCKVILLE, MD 20852
(301) 816-6660
(301) 816-6308

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
0101055799
VA
207RN0300X
Nephrology Physician
Primary
D43667
MD
207RN0300X
Nephrology Physician
MD034457
DC

Other

Enumeration date
01/30/2007
Last updated
02/04/2022
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