Oleg B. Shpak, Md, Pa - Clinic/Center in Rockville, Maryland | ProviderWire

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Clinic/Center
Maryland
Rockville
Oleg B. Shpak, Md, Pa

Legal Business Name

Oleg B. Shpak, Md, Pa

NPI Number

1689893109

NPI Type

Organization

Enumeration Date

04/24/2007

Specialties

(Taxonomies)

Name

Code

261Q00000X

Primary Taxonomy

Yes

Licenses

State

Maryland

License Number

D0034860

Contact
Information

Purpose

Mailing

Location

Address

9470 ANNAPOLIS RD

121 CONGRESSIONAL LN

City

Lanham

Rockville

State

MD

MD

Postal Code

20706-3025

20852-1542

Country

US

US

Telephone Number

(301) 577-5511

(301) 770-6126

Authorized Official

Name

Oleg Shpak

Title or Position

OWNER

Telephone Number

(301) 577-5511

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/05/2008

Provider Address

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