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Individual

PRADEEP SIMLOTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
41680 MISS BESSIE DR, SUITE 203, LEONARDTOWN, MD 20650-2906
(301) 475-7900
(301) 475-3323
Mailing address
PO BOX 459, HOLLYWOOD, MD 20636
(301) 475-7900
(301) 737-4996

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
D0052469
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3846650
AETNA
05
475310100
MD
01
655BP
CAREFIRST
MD
Enumeration date
08/22/2006
Last updated
03/01/2011
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